Abstract
The term “ectopic varix” is used to describe a dilated portosystemic collateral vein occurring anywhere in the abdomen except the gastroesophageal region. Ectopic varices account for up to 5% of all variceal bleeding (1). Stomal varices are rare and different from other ectopic varices in terms of clinical presentation, severity, and their management. Several treatments have been reported for stomal variceal bleeding, including local therapy such as epinephrine-soaked gauze, pressure dressings, suture ligation, refashioning the stoma, and portosystemic procedures such as transjugular intrahepatic portosystemic shunts (TIPS) or liver transplantation (1, 2). Percutaneous transhepatic obliteration (PTO) is another option for treating this serious condition (3). Here, we report a case of an 82-year-old man who had an ileal conduit placed for previous cystectomy due to bladder cancer. He presented stomal variceal hemorrhage that was successfully treated by PTO using microcoils and N-butyl cyanoacrylate (NBCA).
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