History of cystoprostatectomy and ileal conduit with development of recurrent, Massive hemorrhage from peristomal varices

Bleeding from ileal conduit peristomal varices is an uncommon complication of hepatic cirrhosis. Treatment with local measures such as compression and suture ligation is associated with high recurrence rates and does not address the underlying pathology. Herein we describe two similar cases of bleeding peristomal varices managed differently due to unique patient characteristics. One was treated with transjugular intrahepatic portosystemic shunt and the other with direct percutaneous access of the varix with coil embolization.