Luke T. Lavallée ¹, Greg Trottier ², Greg Bailly ²

Canadian Journal of Urology, Vol.16, No.5, pp. 4863-4865, 2009

Abstract 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 More >

Kevin C. Zorn, Sebastien Daigle, Francois Belzile, Le Mai Tu

Canadian Journal of Urology, Vol.12, No.1, pp. 2560-2563, 2005

Abstract Introduction: Since its description by Ulmsten, the TVT procedure has been proven to be safe and well tolerated. Bleeding and hematoma formation, although rare, can occur. Both conservative and surgical managements of this complication have been described.
Materials: We report the first case in which a pelvic branch of the obturator artery was embolized using angiography.
Results: Our patient was spared surgical exploration and retained the TVT tape.
Conclusion: Angiography with vessel embolization, when available, should be considered in the treatment of TVT-procedure retropubic hemorrhages. More >

Christopher Nguan¹, Ercole Leone²

Canadian Journal of Urology, Vol.9, No.6, pp. 1704-1706, 2002

Abstract A case report of a patient who develops a spontaneous perinephric hemorrhage secondary to polyarteritis nodosa (PAN) is described. The diagnosis of PAN was delayed in this patient somewhat due to a previously unrecognized relation to a recent perihepatic hemorrhage. Unenhanced CT findings in this case were nonspecific, but follow up angiography demonstrated characteristic subsegmental and interlobular renal artery aneurysms. Spontaneous perinephric hemorrhage is an uncommon complication of PAN however an elevated level of suspicion regarding the diagnosis of a systemic vasculitis should be considered in any case of spontaneous renal, hepatic, or gastrointestinal hemorrhage. More >