Cargando…

Balloon-occluded antegrade transvenous obliteration of rectal varices: A case report

Patients with liver cirrhosis frequently experience rectal variceal bleeding subsequent to portal hypertension. Unlike gastroesophageal variceal bleeding, a well-established guideline does not exist in terms of management of bleeding rectal varices. A 75-year-old male with non-alcoholic-steatohepati...

Descripción completa

Detalles Bibliográficos
Autores principales: Abrishami, Alireza, Zadeh, Arezou Hashem, Khalili, Nastaran, Yazdi, Hadi Rokni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8408555/
https://www.ncbi.nlm.nih.gov/pubmed/34484546
http://dx.doi.org/10.1016/j.radcr.2021.08.005
_version_ 1783746847703040000
author Abrishami, Alireza
Zadeh, Arezou Hashem
Khalili, Nastaran
Yazdi, Hadi Rokni
author_facet Abrishami, Alireza
Zadeh, Arezou Hashem
Khalili, Nastaran
Yazdi, Hadi Rokni
author_sort Abrishami, Alireza
collection PubMed
description Patients with liver cirrhosis frequently experience rectal variceal bleeding subsequent to portal hypertension. Unlike gastroesophageal variceal bleeding, a well-established guideline does not exist in terms of management of bleeding rectal varices. A 75-year-old male with non-alcoholic-steatohepatitis induced cirrhosis presented with a 3-day history of severe rectorrhagia. Considering patient's clinical history, TIPS was not performed and thus, a novel endovascular technique termed balloon-occluded antegrade transvenous obliteration was considered. Under conscious sedation, an occlusion was made through balloon catheter by sclerotic agents including air/sodium tetradecyl sulfate/Lipiodol. After the procedure, and in the 6 months follow up period the patient's hemodynamic status was stable and he recovered without any serious complications. Balloon-occluded antegrade transvenous obliteration is a feasible and safe modality for treating rectal varices bleeding and could be used as an alternative approach in patients with contraindications to traditional treatments.
format Online
Article
Text
id pubmed-8408555
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-84085552021-09-03 Balloon-occluded antegrade transvenous obliteration of rectal varices: A case report Abrishami, Alireza Zadeh, Arezou Hashem Khalili, Nastaran Yazdi, Hadi Rokni Radiol Case Rep Case Report Patients with liver cirrhosis frequently experience rectal variceal bleeding subsequent to portal hypertension. Unlike gastroesophageal variceal bleeding, a well-established guideline does not exist in terms of management of bleeding rectal varices. A 75-year-old male with non-alcoholic-steatohepatitis induced cirrhosis presented with a 3-day history of severe rectorrhagia. Considering patient's clinical history, TIPS was not performed and thus, a novel endovascular technique termed balloon-occluded antegrade transvenous obliteration was considered. Under conscious sedation, an occlusion was made through balloon catheter by sclerotic agents including air/sodium tetradecyl sulfate/Lipiodol. After the procedure, and in the 6 months follow up period the patient's hemodynamic status was stable and he recovered without any serious complications. Balloon-occluded antegrade transvenous obliteration is a feasible and safe modality for treating rectal varices bleeding and could be used as an alternative approach in patients with contraindications to traditional treatments. Elsevier 2021-08-29 /pmc/articles/PMC8408555/ /pubmed/34484546 http://dx.doi.org/10.1016/j.radcr.2021.08.005 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Abrishami, Alireza
Zadeh, Arezou Hashem
Khalili, Nastaran
Yazdi, Hadi Rokni
Balloon-occluded antegrade transvenous obliteration of rectal varices: A case report
title Balloon-occluded antegrade transvenous obliteration of rectal varices: A case report
title_full Balloon-occluded antegrade transvenous obliteration of rectal varices: A case report
title_fullStr Balloon-occluded antegrade transvenous obliteration of rectal varices: A case report
title_full_unstemmed Balloon-occluded antegrade transvenous obliteration of rectal varices: A case report
title_short Balloon-occluded antegrade transvenous obliteration of rectal varices: A case report
title_sort balloon-occluded antegrade transvenous obliteration of rectal varices: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8408555/
https://www.ncbi.nlm.nih.gov/pubmed/34484546
http://dx.doi.org/10.1016/j.radcr.2021.08.005
work_keys_str_mv AT abrishamialireza balloonoccludedantegradetransvenousobliterationofrectalvaricesacasereport
AT zadeharezouhashem balloonoccludedantegradetransvenousobliterationofrectalvaricesacasereport
AT khalilinastaran balloonoccludedantegradetransvenousobliterationofrectalvaricesacasereport
AT yazdihadirokni balloonoccludedantegradetransvenousobliterationofrectalvaricesacasereport