{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T06:14:02Z","timestamp":1788156842793,"version":"build-2803163510"},"reference-count":13,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Stomal varices are a rare but life\u2010threatening complication of portal hypertension. While multiple approaches are used to treat these varices, clinicians often face significant diagnostic and therapeutic challenges. A 55\u2010year\u2010old woman with a history of cirrhosis and low rectal cancer presented with massive stomal variceal bleeding requiring transfusion support. Emergency bleeding control was achieved using percutaneous NBCA\u2013lipiodol embolization of the dominant feeding vein. Approximately ten months after the initial procedure, the patient experienced another episode of stomal bleeding caused by small collateral varicose veins, requiring blood transfusion, which was effectively treated with ultrasound\u2010guided targeted local sclerotherapy. No further stomal bleeding recurrence was noted during one year of follow\u2010up after sclerotherapy. This case highlights the feasibility of two different minimally invasive and accessible techniques, glue embolization and sclerotherapy, in managing bleeding stomal varices in the same patient. The favorable long\u2010term results support the potential role of these approaches as reliable alternatives for high\u2010risk surgical patients awaiting liver transplantation or when TIPS is not available.<\/jats:p>","DOI":"10.1002\/ccr3.73349","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:10:17Z","timestamp":1787029817000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bleeding Stomal Varices and Vascular Interventional Radiology Management: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"given":"Paria","family":"Bolourinejad","sequence":"first","affiliation":[{"name":"Student Research Committee, School of Medicine Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9968-9758","authenticated-orcid":false,"given":"Pardis","family":"Tavallaeinejad","sequence":"additional","affiliation":[{"name":"School of Medicine Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Saleh","family":"Jafarpisheh","sequence":"additional","affiliation":[{"name":"Department of Radiology Isfahan University of Medical Sciences  Isfahan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.510280434"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jceh.2021.09.005"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.tvir.2013.02.005"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cld.1070"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/2324709620904569"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/20584601221112618"},{"key":"e_1_2_12_8_1","first-page":"1","article-title":"Ligating the Varicose Vein Trunk for Bleeding Stomal Varices in Portal Hypertension: A Case Report","volume":"11","author":"Sun J.","year":"2025","journal-title":"Front Med (Lausanne)"},{"issue":"2","key":"e_1_2_12_9_1","first-page":"98","article-title":"N\u2010Butyl Cyanoacrylate Embolotherapy: Techniques, Complications, and Management","volume":"24","author":"Hill H.","year":"2018","journal-title":"Diagnostic and Interventional Radiology"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2025.04.038"},{"issue":"1","key":"e_1_2_12_11_1","first-page":"90","article-title":"Intractable Parastomal Bleeding in a Portal Hypertensive Patient Managed by Direct Sclerotherapy: A Case Report","volume":"13","author":"Yazdi N. A.","year":"2020","journal-title":"Gastroenterology and Hepatology From Bed to Bench"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105\u2010020\u201004705\u20100"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/17474124.2019.1652092"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.183.2.1830369"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73349","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.73349","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73349","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T05:21:08Z","timestamp":1788153668000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.73349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/ccr3.73349"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.73349","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2025-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73349"}}