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  • Title: Portal hypertension hemorrhage secondary to a stomal varicose vein in a patient with two consecutive thrombosis of a transjugular intrahepatic portosystemic shunt (TIPS).
    Author: Quiñones Calvo M, Gómez Perosanz R, Salazar Parada ND, Guerrero Fernández-Reyes L, Jara Fernández L, Alvarado Jara R, Gómez Domínguez E.
    Journal: Rev Esp Enferm Dig; 2023 Dec; 115(12):738-739. PubMed ID: 37314133.
    Abstract:
    Less than 5% of patients with liver cirrhosis (LC) with portal hypertension (PH) develop atypical shunt (in regions other than the esophagus or the stomach). Within this group are varices associated with a stoma, for example the ones associated with an uretero-ileostomy which are infrequent. They are a diagnostic and therapeutic challenge, as they can cause hemorrhages due to PH. We present a clinical case about stoma varicose bleeding as the latest guidelines for the management of PH do not mention them or their treatment due to their low incidence.
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