Variceal hemorrhage on the colostomy area in a patient with portal hypertension
Lera Tricas JM (1), Zornoza Celaya G (1), Hernández Lizoaín JL. (2)
(1) Servicio de Cirugía General, Hospital J. García Orcoyen, Estella, Navarra.
(2) Departamento de Cirugía General. Clínica Universitaria de Navarra.
A 68 years old patient who had a colostomy done for an abdomino-perineal resection, started episodes of bleeding seven years later from varices at the colostomy site secondary to portal hypertension.
Direct suture of the varices and distal colonic resection were ineffective to stop the bleeding.
Sclerotherapy with polidocanol, however permitted the patient to remain asymptomatic during 14 months.
CITATION Rev Esp Enferm Dig. 1991 Jun;79(6):437-8