Year 2023 / Volume 115 / Number 12
Letter
Portal hypertension hemorrhage secondary to a stomal varicose vein in a patient with two consecutive thrombosis of a transjugular intrahepatic portosystemic shunt (TIPS)

738-739

DOI: 10.17235/reed.2023.9643/2023

Marta Quiñones Calvo, Raquel Gómez Perosanz, Nelson Daniel Salazar Parada, Lucía Guerrero Fernández-Reyes, Lorena Jara Fernández, Rubén Alvarado Jara, Elena Gómez Domínguez,

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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References
1. Trasancos Escura C, Carrillo George C, Muñoz Bertrán ED, Bebia Conesa P. Varices estomales: una causa infrecuente de sangrado en pacientes con hipertensión portal. Rev Esp Enferm Dig 2015; 107 (9): 579-580
2. Téllez L, Guerrero A, Albillos A. Update on the diagnosis and management of portal hypertension in cirrhosis according to the Baveno VII Consensus Conference recommendations. Rev Esp Enferm Dig. 2022 Sep;114(9):534-542. doi: 10.17235/reed.2022.8868/2022. PMID: 36017753
3. Deipolyi AR, Kalva SP, Oklu R, Walker TG, Wicky S, Ganguli S. Reduction in portal venous pressure by transjugular intrahepatic portosystemic shunt for treatment of hemorrhagic stomal varices. AJR Am J Roentgenol. 2014 Sep;203(3):668-73. doi: 10.2214/AJR.13.12211. PMID: 25148174
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Citation tools
Quiñones Calvo M, Gómez Perosanz R, Salazar Parada N, Guerrero Fernández-Reyes L, Jara Fernández L, Alvarado Jara R, et all. Portal hypertension hemorrhage secondary to a stomal varicose vein in a patient with two consecutive thrombosis of a transjugular intrahepatic portosystemic shunt (TIPS). 9643/2023


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Publication history

Received: 03/04/2023

Accepted: 08/05/2023

Online First: 14/06/2023

Published: 12/12/2023

Article Online First time: 72 days

Article editing time: 253 days


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