Portal hypertensive stomapathy: a newly described entity and its successful treatment by placement of a transjugular intrahepatic portosystemic shunt
Wong, R.C.; Berg, C.L.
American Journal of Gastroenterology 92(6): 1056-1057
1997
ISSN/ISBN: 0002-9270 PMID: 9177535 Document Number: 483035
We report the case of a 68-yr-old woman who had previously undergone a total colectomy and ileostomy for Crohn's disease limited to the colon. She subsequently had recurrent episodes of severe stomal bleeding and was discovered to have micronodular cirrhosis. No definite stomal varices were seen by visual inspection, stomal endoscopy, stomal endosonography, or angiography. Nevertheless, multiple discrete, punctate bleeding points were seen on the external mucosal surface of the stoma (not at the mucocutaneous junction). Despite undergoing numerous modes of treatment, the bleeding continued. The only successful and effective form of treatment was the placement of a transjugular intrahepatic portosystemic shunt.