TY  - EJOU
AU  - Lavallée, Luke T. 
AU  - Trottier, Greg 
AU  - Bailly, Greg 

TI  - Ileal conduit stomal hemorrhage as the fi rst  presentation of end stage liver disease: case  report and review of the literature
T2  - Canadian Journal of Urology

PY  - 2009
VL  - 16
IS  - 5
SN  - 1488-5581

AB  - Hemorrhage from an ileal conduit is a rare and 
potentially life threatening event with only 17 cases 
reported in the medical literature. We present the 
unique case of an 83-year-old patient with acute stomal 
hemorrhage as the fi rst sign of underlying liver disease 
and portal hypertension. Bleeding was controlled with 
conservative measures including balloon tamponade, 
betablockade, octreotide, and suture ligation. Our 
review of the literature revealed multiple management 
options for stomal hemorrhage with most authors 
advocating defi nitive management via portosystemic 
shunt creation, either surgically, or with transjugular 
intrahepatic portosystemic shunt (TIPS). In all 
cases the incidence of rebleeding associated with the 
procedure, and the ability of the patient to undergo 
invasive procedures, must be considered carefully.
KW  - cystectomy
KW  -  hemorrhage
KW  -  ileal conduit

DO  -