Gastroesophageal Variceal Bleeding Successfully Controlled by Partial Splenic Embolization

A 53-year-old male patient with a history of hepatocellular carcinoma developed gastroesophageal varices refractory to endoscopic injection sclerotherapy (EIS). He required EIS six times in 2 years for recurring variceal bleeding. After hepatic resection, he developed massive splenomegaly. Partial s...

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Detalles Bibliográficos
Autores principales: Kogure, Takayuki, Inoue, Jun, Kakazu, Eiji, Ninomiya, Masashi, Shimosegawa, Tooru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498196/
https://www.ncbi.nlm.nih.gov/pubmed/28566595
http://dx.doi.org/10.2169/internalmedicine.56.8167
Descripción
Sumario:A 53-year-old male patient with a history of hepatocellular carcinoma developed gastroesophageal varices refractory to endoscopic injection sclerotherapy (EIS). He required EIS six times in 2 years for recurring variceal bleeding. After hepatic resection, he developed massive splenomegaly. Partial splenic embolization (PSE) was performed to reduce the portal pressure. Varices and variceal bleeding were not detected during 13-year follow up, until the patient died of hepatocellular carcinoma. This is a unique case of gastroesophageal varices controlled by PSE and improved portal hypertension.

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