Work

Parastomal Varices as an Atypical Source of Bleeding From a Urostomy in a Patient With Alcoholic Liver Disease

Year: 2024

Type: article

Abstract: Parastomal varices are an uncommon but significant source of hemorrhage in patients with portal hypertension, often posing diagnostic and therapeutic challenges. We report the case of a 73-year-old male with a history of alcoholic liver disease and a urostomy following cystoprostatectomy for bladder cancer. The patient presented with profuse bleeding from his urostomy site. Imaging revealed dilated vessels within the ileal conduit and associated mesentery and peri esophageal varices, suggesting possible underlying portal hypertension. This case highlights the importance of considering parastomal varices in patients with stomas and liver disease who present with bleeding.

Source: Cureus

DOI: 10.7759/cureus.73886

Authors: Omar Desouky, Baraa Chkir, Thihnaan Zuhair

Institutions: Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Furness General Hospital, North Manchester General Hospital, Manchester University NHS Foundation Trust

Language: English

Topic: Liver Disease and Transplantation

Subfield: Hepatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4404490281