Successful embolization of ileal conduit stomal varices with N-butyl cyanoacrylate via a recanalized paraumbilical vein

Yasuyuki Onishi, MD; Hiroyuki Kimura, MD, PhD; Mitsunori Kanagaki, MD, PhD; Shojiro Oka, MD; Genki Fukumoto, MD; Tomoaki Otani, MD; Naoko Matsubara, MD; Kazuna Kawabata, MD, PhD; Tomihiko Yasufuku, MD, PhD; Yuji Yamada, MD, PhD

Radiology Case Reports (Dec 2018)

Successful embolization of ileal conduit stomal varices with N-butyl cyanoacrylate via a recanalized paraumbilical vein

Yasuyuki Onishi, MD,
Hiroyuki Kimura, MD, PhD,
Mitsunori Kanagaki, MD, PhD,
Shojiro Oka, MD,
Genki Fukumoto, MD,
Tomoaki Otani, MD,
Naoko Matsubara, MD,
Kazuna Kawabata, MD, PhD,
Tomihiko Yasufuku, MD, PhD,
Yuji Yamada, MD, PhD

Affiliations

Yasuyuki Onishi, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan; Corresponding author.
Hiroyuki Kimura, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
Mitsunori Kanagaki, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
Shojiro Oka, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
Genki Fukumoto, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
Tomoaki Otani, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
Naoko Matsubara, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
Kazuna Kawabata, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
Tomihiko Yasufuku, MD, PhD: Department of Urology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan
Yuji Yamada, MD, PhD: Department of Urology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan

Journal volume & issue: Vol. 13, no. 6
pp. 1130 – 1132

Abstract

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A 77-year-old woman with liver cirrhosis was admitted to our hospital for marked hemorrhage in her ileal conduit stoma. She had a history of cystectomy and urinary diversion for bladder carcinoma 2 years ago. Contrast-enhanced CT demonstrated varices in the ileal conduit stoma. We accessed the varices via a recanalized paraumbilical vein to avoid pain from the transhepatic approach, and selectively embolized the varices with N-butyl cyanoacrylate (NBCA). We consider antegrade embolization of ileal conduit stomal varices with NBCA to be effective and feasible. Access via a paraumbilical vein is a useful alternative to the transhepatic approach. Keywords: Ectopic varix, Portal hypertension, Embolization, N-butyl cyanoacrylate, Paraumbilical vein

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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