Para-stomal variceal bleed, 9 years post-radical cystectomy: An Unusual emergency at a usually missed location

Suvraraj Das, Gaurav Aggarwal* and Sujoy Gupta

Parastomal or stomal varices are infrequently encountered with majority occurring secondary to portal hypertension. They can be a source of considerable morbidity, mandating hospitalization, blood transfusions, angiographic or surgical intervention and may even be fatal.

We describe a rare instance of parastomal variceal bleeding in a patient who had undergone a radical cystectomy and ileal conduit-urinary diversion in 2011 for a high-grade muscle-invasive transitional cell carcinoma of the urinary bladder, which was managed via simple suture-ligation. Though reported as a temporary measure, he remained stable till date.

The point to note is that this approach is beneficial, especially in an emergent scenario- to avoid missing this unusual occurrence, at a usually missed site.

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Published on: Dec 29, 2020 Pages: 90-92

Full Text PDF Full Text HTML DOI: 10.17352/aur.000027
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