Case report identifies porto-sinusoidal vascular disorder as a cause of stomal bleeding in a patient with portal hypertension, suggesting important diagnostic implications.
Key Points
This case explores the cause of recurrent stomal bleeding in a patient following ileal conduit diversion.
Patient presented with recurrent bleeding and underwent endoscopy revealing lesions.
Liver biopsy confirmed the diagnosis of porto-sinusoidal vascular disorder based on several findings.
Transjugular intrahepatic portosystemic shunt (TIPS) and variceal embolization were performed to address portal hypertension.
Following intervention, portal pressure gradient reduced from 15 mmHg to 5 mmHg.
No recurrence of stomal bleeding was noted during the 12-month follow-up.