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Refractory Bleeding From an Ileal Conduit in a Patient With Antiphospholipid Syndrome: A Multidisciplinary Management
Asmita Hossain1, Toby Murray1, Katherine Wise2
1Urology, Surrey and Sussex Healthcare NHS Trust, Redhill, GBR.
Cureus
|August 29, 2025
Summary
Bleeding from an ileal conduit is rare but serious. This case highlights managing anticoagulation in antiphospholipid syndrome patients with this rare complication.
Area of Science:
- Urology
- Gastroenterology
- Hematology
Background:
- Ileal conduit bleeding is a rare complication, often linked to portal hypertension and stomal varices.
- Intra-conduit hemorrhage in non-portal hypertensive, benign settings is exceptionally uncommon.
Observation:
- A 54-year-old woman with antiphospholipid syndrome (APS) presented with persistent ileal conduit bleeding.
- Conservative management failed, necessitating multidisciplinary intervention.
Findings:
- The case underscores the difficulty in balancing anticoagulation for patients with high thrombotic risk.
- Successful management required specialized care and intervention.
Implications:
- This case emphasizes the need for timely escalation to specialist care for complex urological bleeding.
- It highlights considerations for anticoagulation management in APS patients with surgical complications.
Keywords:
anticoagulationantiphospholipid antibody syndrome (aps)computed tomography (ct) angiogramct urogramgastroenterology and endoscopyileal conduitmultidisciplinary managementpercutaneous nephrostomy tuberecurrent hematuriaMore Related Videos
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