Bleeding from peristomal varices: a complication of portal hypertension

• Published in: BMJ case reports Vol. 2011; no. sep20 1; p. bcr0820114598
• Main Authors: Khan, Faraan, Vessal, Sheida, Gordon-Williams, Richard
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 26-09-2011; BMJ Publishing Group
• Series: Unusual association of diseases/symptoms
• Subjects: Abdomen; Aged; Biopsy; Diagnosis, Differential; Europe (West); Family medical history; Hemorrhage; Hemorrhage - diagnostic imaging; Hemorrhage - etiology; Hemorrhage - surgery; Humans; Hypertension; Hypertension, Portal - complications; Ileostomy; Inflammatory bowel disease; Liver cirrhosis; Liver diseases; Male; Mortality; Ostomy; Patients; Portasystemic Shunt, Transjugular Intrahepatic; Surgery; Thrombosis; Tomography, X-Ray Computed; Unusual Association of Diseases/Symptoms; Varicose Veins - diagnostic imaging; Varicose Veins - etiology; Varicose Veins - surgery; White
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr.08.2011.4598

Peristomal varices are a recognised complication of stomas in the presence of portal hypertension. There has been a progression of treatment options described in the literature, including the transjugular intrahepatic portosystemic shunt (TIPS). The use of TIPS, a percutaneous procedure allowing connection between the portal and systemic circulations within the liver, is a well-recognised method of treating the complications of portal hypertension. This report presents a case of peristomal varices successfully treated with TIPS and subsequently reviews the literature relating to its management.