ILEAL CONDUIT VENOUS VARICES FROM PORTAL-HYPERTENSION AS A CAUSE OF RECURRENT, MASSIVE HEMORRHAGE - CASE-REPORT AND REVIEW OF THE LITERATURE

Variceal bleeding from an ileal conduit stoma is an uncommon complicat ion of portal venous hypertension. We report on a 59-year-old man who experienced frequent and severe bleeding episodes from the parastomal skin and mucosa of an ileal conduit requiring multiple blood transfusi ons. A mesenteric angiogram showed portal hypertension and large varic es around the ileal conduit. Resolution of the dilated cutaneous veins occurred after a portosystemic shunt and he has had no further bleedi ng episodes. Recognition of this unusual complication of ileostomy for mation is important for urological surgeons who may encounter patients with liver disease requiring urinary diversion.