Successful embolization of ileal conduit stomal varices with N-butyl cyanoacrylate via a recanalized paraumbilical vein

A 77-year-old woman with liver cirrhosis was admitted to our hospital for marked hemorrhage in her ileal conduit stoma. She had a history of cystectomy and urinary diversion for bladder carcinoma 2 years ago. Contrast-enhanced CT demonstrated varices in the ileal conduit stoma. We accessed the varic...

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Detalles Bibliográficos
Autores principales: Onishi, Yasuyuki, Kimura, Hiroyuki, Kanagaki, Mitsunori, Oka, Shojiro, Fukumoto, Genki, Otani, Tomoaki, Matsubara, Naoko, Kawabata, Kazuna, Yasufuku, Tomihiko, Yamada, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Interventional Radiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140417/
https://www.ncbi.nlm.nih.gov/pubmed/30233743
http://dx.doi.org/10.1016/j.radcr.2018.07.024
Descripción
Sumario:A 77-year-old woman with liver cirrhosis was admitted to our hospital for marked hemorrhage in her ileal conduit stoma. She had a history of cystectomy and urinary diversion for bladder carcinoma 2 years ago. Contrast-enhanced CT demonstrated varices in the ileal conduit stoma. We accessed the varices via a recanalized paraumbilical vein to avoid pain from the transhepatic approach, and selectively embolized the varices with N-butyl cyanoacrylate (NBCA). We consider antegrade embolization of ileal conduit stomal varices with NBCA to be effective and feasible. Access via a paraumbilical vein is a useful alternative to the transhepatic approach.

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