Successful Coil Embolization with Sclerotherapy for Bleeding Stomal Varices Using a Direct Percutaneous Approach: A Case Report
Patients with portal hypertension who have undergone stoma surgery are at risk of developing stomal varices, which can occasionally lead to bleeding. Recurrent stomal bleeding can be life-threatening; however, the optimal treatment for this condition remains unestablished due to the rarity of suc...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Radiology
2025-07-01
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| Series: | Journal of the Korean Society of Radiology |
| Subjects: | |
| Online Access: | https://doi.org/10.3348/jksr.2024.0082 |
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| Summary: | Patients with portal hypertension who have undergone stoma surgery are at risk of developing
stomal varices, which can occasionally lead to bleeding. Recurrent stomal bleeding
can be life-threatening; however, the optimal treatment for this condition remains unestablished
due to the rarity of such varices. We report a case of a 73-year-old man with liver cirrhosis
and a history of abdominoperineal resection with colostomy for rectal cancer, in
whom stomal variceal bleeding was successfully treated with coil embolization and sclerotherapy
via a direct percutaneous approach to the afferent vein. No re-bleeding occurred
within 3 months of follow-up, and no serious complications were observed. We propose
that coil embolization combined with sclerotherapy via a direct percutaneous approach is
a feasible and effective treatment option for bleeding stomal varices in patients with decompensated
cirrhosis. |
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| ISSN: | 2951-0805 |