Bleeding due to ectopic varices in a urinary diversion: A multidisciplinary diagnostic and therapeutic challenge

Authors

  • Eduardo Mariano Albers Acosta Department of Urology, Hospital Universitario de La Princesa, Madrid. Universidad Autónoma de Madrid.
  • Alfonsi Friera Reyes Department of Interventional & Vascular Radiology, Hospital Universitario de La Princesa, Madrid. Universidad Autónoma de Madrid.
  • Ricardo Brime Menéndez Department of Urology, Hospital Universitario de La Princesa, Madrid. Universidad Autónoma de Madrid.

DOI:

https://doi.org/10.5489/cuaj.3175

Abstract

The ectopic varices in patients with portal hypertension are those that occur at any level of the gastrointestinal (GI) tract, regardless of the varices that occur at the esophageal level. These ectopic varices account for 2‒5% of the causes of GI bleeding varices. The risk of bleeding is quadrupled compared to the esophagogastric area, with a mortality of up to 40%. The transjugular intrahepatic portosystemic shunt, should be considered in cases secondary to recurrent bleeding varices. We present a case report of an urological emergency of bleeding in a urinary diversion secondary to ectopic varices successfully treated through the placement of transjugular intrahepatic portosystemic shunt. The condition described here is rare, but important, as it can be a life-threatening complication of portal hypertension. This kind of complication should be known by urologic surgeons managing patients with urinary diversions.

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Published

2015-12-14

How to Cite

Albers Acosta, E. M., Friera Reyes, A., & Brime Menéndez, R. (2015). Bleeding due to ectopic varices in a urinary diversion: A multidisciplinary diagnostic and therapeutic challenge. Canadian Urological Association Journal, 9(11-12), E897–9. https://doi.org/10.5489/cuaj.3175

Issue

Vol. 9 No. 11-12 (2015): CUAJ December

Section

Case Report

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