Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices

A 61-year-old man with alcoholic cirrhosis and a history of severe cholecystitis leading to secondary thrombosis of the recanalized paraumbilical vein was admitted to our hospital for recurrent gastrointestinal bleeding and severe anemia. Capsule endoscopy and CT angiography detected profuse bleedin...

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Autores principales: Michielan, Andrea, Vieceli, Filippo, Pravadelli, Cecilia, Moser, Luisa, Agugiaro, Flora, Luppi, Giacomo, Gatti, Francesco Lorenzo, Costa, Lorenzo, Rozzanigo, Umberto Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Nature Singapore 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539418/
https://www.ncbi.nlm.nih.gov/pubmed/37452994
http://dx.doi.org/10.1007/s12328-023-01830-w
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author Michielan, Andrea
Vieceli, Filippo
Pravadelli, Cecilia
Moser, Luisa
Agugiaro, Flora
Luppi, Giacomo
Gatti, Francesco Lorenzo
Costa, Lorenzo
Rozzanigo, Umberto Maria
author_facet Michielan, Andrea
Vieceli, Filippo
Pravadelli, Cecilia
Moser, Luisa
Agugiaro, Flora
Luppi, Giacomo
Gatti, Francesco Lorenzo
Costa, Lorenzo
Rozzanigo, Umberto Maria
author_sort Michielan, Andrea
collection PubMed
description A 61-year-old man with alcoholic cirrhosis and a history of severe cholecystitis leading to secondary thrombosis of the recanalized paraumbilical vein was admitted to our hospital for recurrent gastrointestinal bleeding and severe anemia. Capsule endoscopy and CT angiography detected profuse bleeding in the proximal ileum from ectopic ileal varices. Hepatic venous-portal gradient (HVPG) measurement was consistent with severe portal hypertension. Persistent bleeding despite transjugular intrahepatic portosystemic shunt (TIPS) placement required a combined approach with antegrade through-the-TIPS coil embolization of the ileal varices.
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spelling pubmed-105394182023-09-30 Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices Michielan, Andrea Vieceli, Filippo Pravadelli, Cecilia Moser, Luisa Agugiaro, Flora Luppi, Giacomo Gatti, Francesco Lorenzo Costa, Lorenzo Rozzanigo, Umberto Maria Clin J Gastroenterol Case Report A 61-year-old man with alcoholic cirrhosis and a history of severe cholecystitis leading to secondary thrombosis of the recanalized paraumbilical vein was admitted to our hospital for recurrent gastrointestinal bleeding and severe anemia. Capsule endoscopy and CT angiography detected profuse bleeding in the proximal ileum from ectopic ileal varices. Hepatic venous-portal gradient (HVPG) measurement was consistent with severe portal hypertension. Persistent bleeding despite transjugular intrahepatic portosystemic shunt (TIPS) placement required a combined approach with antegrade through-the-TIPS coil embolization of the ileal varices. Springer Nature Singapore 2023-07-15 2023 /pmc/articles/PMC10539418/ /pubmed/37452994 http://dx.doi.org/10.1007/s12328-023-01830-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Michielan, Andrea
Vieceli, Filippo
Pravadelli, Cecilia
Moser, Luisa
Agugiaro, Flora
Luppi, Giacomo
Gatti, Francesco Lorenzo
Costa, Lorenzo
Rozzanigo, Umberto Maria
Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices
title Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices
title_full Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices
title_fullStr Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices
title_full_unstemmed Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices
title_short Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices
title_sort combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-tips coil embolization for bleeding mixed-type ectopic ileal varices
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539418/
https://www.ncbi.nlm.nih.gov/pubmed/37452994
http://dx.doi.org/10.1007/s12328-023-01830-w
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