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Unusual association of diseases/symptoms
Bleeding from peristomal varices: a complication of portal hypertension
  1. Faraan Khan1,
  2. Sheida Vessal2,
  3. Richard Gordon-Williams3
  1. 1Department of General Medicine, Barnet Hospital, London, UK
  2. 2Department of Clinical Radiology, Barnet Hospital, London, UK
  3. 3Department of General Surgery, Ealing Hospital, London, UK
  1. Correspondence to Dr Faraan Khan, Faraan{at}


Peristomal varices are a recognised complication of stomas in the presence of portal hypertension. There has been a progression of treatment options described in the literature, including the transjugular intrahepatic portosystemic shunt (TIPS). The use of TIPS, a percutaneous procedure allowing connection between the portal and systemic circulations within the liver, is a well-recognised method of treating the complications of portal hypertension. This report presents a case of peristomal varices successfully treated with TIPS and subsequently reviews the literature relating to its management.

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  • Competing interests None.

  • Patient consent Obtained.

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