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Management of bleeding from ileal conduit using arterial angioembolization
Mihir Pandya1, Ravikumar Karunakaran1, Surdas Radhakrishnan1
1Department of Urology, Aster MIMS, Kozhikode, Kerala, India.
Summary
Super selective arterial embolization successfully treated gross hematuria in an ileal conduit. This minimally invasive procedure offers a solution for challenging bleeding cases when conservative methods fail.
Area of Science:
- Urology
- Interventional Radiology
Background:
- Ileal conduit urinary diversion is common after radical cystectomy.
- Metabolic complications are typical, but bleeding is a significant concern.
- Managing ileal conduit bleeding is challenging, particularly in non-cirrhotic patients.
Observation:
- A patient presented with severe gross hematuria originating from an ileal conduit.
- Previous conservative management strategies were unsuccessful in controlling the bleeding.
Findings:
- Super selective arterial embolization was performed as a targeted intervention.
- The procedure successfully achieved hemostasis and controlled the gross hematuria.
Implications:
- Super selective arterial embolization is a viable and effective treatment for refractory ileal conduit bleeding.
- This technique offers a minimally invasive alternative to surgical intervention.
- Further research may explore its role in managing similar urological bleeding complications.
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