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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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
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author Kogure, Takayuki
Inoue, Jun
Kakazu, Eiji
Ninomiya, Masashi
Shimosegawa, Tooru
author_facet Kogure, Takayuki
Inoue, Jun
Kakazu, Eiji
Ninomiya, Masashi
Shimosegawa, Tooru
author_sort Kogure, Takayuki
collection PubMed
description 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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spelling pubmed-54981962017-07-07 Gastroesophageal Variceal Bleeding Successfully Controlled by Partial Splenic Embolization Kogure, Takayuki Inoue, Jun Kakazu, Eiji Ninomiya, Masashi Shimosegawa, Tooru Intern Med Case Report 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. The Japanese Society of Internal Medicine 2017-06-01 /pmc/articles/PMC5498196/ /pubmed/28566595 http://dx.doi.org/10.2169/internalmedicine.56.8167 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kogure, Takayuki
Inoue, Jun
Kakazu, Eiji
Ninomiya, Masashi
Shimosegawa, Tooru
Gastroesophageal Variceal Bleeding Successfully Controlled by Partial Splenic Embolization
title Gastroesophageal Variceal Bleeding Successfully Controlled by Partial Splenic Embolization
title_full Gastroesophageal Variceal Bleeding Successfully Controlled by Partial Splenic Embolization
title_fullStr Gastroesophageal Variceal Bleeding Successfully Controlled by Partial Splenic Embolization
title_full_unstemmed Gastroesophageal Variceal Bleeding Successfully Controlled by Partial Splenic Embolization
title_short Gastroesophageal Variceal Bleeding Successfully Controlled by Partial Splenic Embolization
title_sort gastroesophageal variceal bleeding successfully controlled by partial splenic embolization
topic Case Report
url 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
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