Two Cases of Bleeding from the Ileal Conduit Due to Ectopic Varices

Case 1 : A 75-year-old man was emergently admitted to our hospital with a complaint of continuous bleeding from the ileal conduit. The conduit was constructed by a total pelvic resection for sigmoid colon cancer that invaded the urinary bladder 24 years ago. Swollen cutaneous mucosa was seen around...

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Bibliographische Detailangaben
Veröffentlicht in:	Hinyokika kiyo. Acta urologica Japonica. - 1962. - 70(2024), 4 vom: 12. Apr., Seite 101-106
1. Verfasser:	Yamasaki, Takuto (VerfasserIn)
Weitere Verfasser:	Yoshino, Takayuki, Kojo, Kosukeo, Kimura, Tomokazuo, Matsuda, Kotoe, Isoda, Bunpeio, Tanaka, Takazo, Tsuchiya, Harukio, Shiga, Masanobu, Nagumo, Yoshiyuki, Ikeda, Atsushi, Kandori, Shuya, Kawahara, Takashi, Hoshi, Akio, Negoro, Hiromitsu, Mori, Kensaku, Nishiyama, Hiroyuki
Format:	Online-Aufsatz
Sprache:	Japanese
Veröffentlicht:	2024
Zugriff auf das übergeordnete Werk:	Hinyokika kiyo. Acta urologica Japonica
Schlagworte:	Journal Article Case Reports English Abstract

Beschreibung
Zusammenfassung:	Case 1 : A 75-year-old man was emergently admitted to our hospital with a complaint of continuous bleeding from the ileal conduit. The conduit was constructed by a total pelvic resection for sigmoid colon cancer that invaded the urinary bladder 24 years ago. Swollen cutaneous mucosa was seen around the ileal conduit, but no obvious bleeding spot was observed. The contrast-enhanced computed tomographic (CT) scan and 3D visualization revealed varices extending to the abdominal wall. Percutaneous transhepatic embolization successfully stopped the bleeding, but it was needed again after two years. Case 2 : A 72-yearold man with a history of open cystectomy and ileal conduit for bladder cancer came to our hospital two years after the surgery, complaining of continuous bleeding from the conduit. The skin around the stoma site was discolored purple, but no obvious bleeding site or bloody urine was observed. The CT scan similar to Case 1 revealed varices in the ileal conduit, and percutaneous transhepatic embolization successfully stopped the bleeding, but it was needed again after five months. After that, three months passed without recurrence
Beschreibung:	Date Completed 05.07.2024 Date Revised 18.10.2024 published: Print Citation Status MEDLINE
ISSN:	0018-1994
DOI:	10.14989/ActaUrolJap_70_4_101