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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| Format: | Article |
| Language: | English |
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The Korean Society of Radiology
2025-07-01
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| Series: | Journal of the Korean Society of Radiology |
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| Online Access: | https://doi.org/10.3348/jksr.2024.0082 |
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| author | Sumin Park Myung Sub Kim Hyun Pyo Hong |
| author_facet | Sumin Park Myung Sub Kim Hyun Pyo Hong |
| author_sort | Sumin Park |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-335d4ac5c23f45fd9e4e5a0dfdd61a79 |
| institution | Matheson Library |
| issn | 2951-0805 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | The Korean Society of Radiology |
| record_format | Article |
| series | Journal of the Korean Society of Radiology |
| spelling | doaj-art-335d4ac5c23f45fd9e4e5a0dfdd61a792025-07-27T06:32:01ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052025-07-01864543548https://doi.org/10.3348/jksr.2024.0082Successful Coil Embolization with Sclerotherapy for Bleeding Stomal Varices Using a Direct Percutaneous Approach: A Case ReportSumin ParkMyung Sub KimHyun Pyo HongPatients 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.https://doi.org/10.3348/jksr.2024.0082case reportbleeding stomal varicesportal hypertensionpercutaneous embolizationsclerotherapy |
| spellingShingle | Sumin Park Myung Sub Kim Hyun Pyo Hong Successful Coil Embolization with Sclerotherapy for Bleeding Stomal Varices Using a Direct Percutaneous Approach: A Case Report Journal of the Korean Society of Radiology case report bleeding stomal varices portal hypertension percutaneous embolization sclerotherapy |
| title | Successful Coil Embolization with Sclerotherapy for Bleeding Stomal Varices Using a Direct Percutaneous Approach: A Case Report |
| title_full | Successful Coil Embolization with Sclerotherapy for Bleeding Stomal Varices Using a Direct Percutaneous Approach: A Case Report |
| title_fullStr | Successful Coil Embolization with Sclerotherapy for Bleeding Stomal Varices Using a Direct Percutaneous Approach: A Case Report |
| title_full_unstemmed | Successful Coil Embolization with Sclerotherapy for Bleeding Stomal Varices Using a Direct Percutaneous Approach: A Case Report |
| title_short | Successful Coil Embolization with Sclerotherapy for Bleeding Stomal Varices Using a Direct Percutaneous Approach: A Case Report |
| title_sort | successful coil embolization with sclerotherapy for bleeding stomal varices using a direct percutaneous approach a case report |
| topic | case report bleeding stomal varices portal hypertension percutaneous embolization sclerotherapy |
| url | https://doi.org/10.3348/jksr.2024.0082 |
| work_keys_str_mv | AT suminpark successfulcoilembolizationwithsclerotherapyforbleedingstomalvaricesusingadirectpercutaneousapproachacasereport AT myungsubkim successfulcoilembolizationwithsclerotherapyforbleedingstomalvaricesusingadirectpercutaneousapproachacasereport AT hyunpyohong successfulcoilembolizationwithsclerotherapyforbleedingstomalvaricesusingadirectpercutaneousapproachacasereport |