Stomal variceal bleeding is an uncommon cause of serious hemorrhage and is associated with an estimated mortality of 3-4% per episode. We report a case of ileal conduit variceal bleeding in a cirrhotic patient that was detected by the use of three-dimensional (3D) volume rendering images. The ileal conduit variceal bleeding was successfully managed by the use of a transjugular intrahepatic portosystemic shunt (TIPS) with coil embolization.