Direct percutaneous access to an omental vein for embolization of Roux-en-Y limb varices in a child

An 11-year-old boy with a history of hepatoblastoma treated with chemotherapy, radiation therapy, and liver transplantation presented with bleeding from Roux-en-Y limb varices. The transhepatic approach for portal intervention posed a risk of liver graft injury. An omental vein that was dilated as a...

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Autores principales: Onishi, Yasuyuki, Shimizu, Hironori, Ogawa, Eri, Okamoto, Tatsuya, Nakamoto, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8829525/
https://www.ncbi.nlm.nih.gov/pubmed/35169417
http://dx.doi.org/10.1016/j.radcr.2022.01.046
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author Onishi, Yasuyuki
Shimizu, Hironori
Ogawa, Eri
Okamoto, Tatsuya
Nakamoto, Yuji
author_facet Onishi, Yasuyuki
Shimizu, Hironori
Ogawa, Eri
Okamoto, Tatsuya
Nakamoto, Yuji
author_sort Onishi, Yasuyuki
collection PubMed
description An 11-year-old boy with a history of hepatoblastoma treated with chemotherapy, radiation therapy, and liver transplantation presented with bleeding from Roux-en-Y limb varices. The transhepatic approach for portal intervention posed a risk of liver graft injury. An omental vein that was dilated as a collateral vein due to portal hypertension was found and compressible under ultrasound. The omental vein was percutaneously punctured, and the varices were embolized through a jejunal vein. No complication occurred. Direct percutaneous access to the portal venous system is a useful technique for portal embolization.
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spelling pubmed-88295252022-02-14 Direct percutaneous access to an omental vein for embolization of Roux-en-Y limb varices in a child Onishi, Yasuyuki Shimizu, Hironori Ogawa, Eri Okamoto, Tatsuya Nakamoto, Yuji Radiol Case Rep Case Report An 11-year-old boy with a history of hepatoblastoma treated with chemotherapy, radiation therapy, and liver transplantation presented with bleeding from Roux-en-Y limb varices. The transhepatic approach for portal intervention posed a risk of liver graft injury. An omental vein that was dilated as a collateral vein due to portal hypertension was found and compressible under ultrasound. The omental vein was percutaneously punctured, and the varices were embolized through a jejunal vein. No complication occurred. Direct percutaneous access to the portal venous system is a useful technique for portal embolization. Elsevier 2022-02-03 /pmc/articles/PMC8829525/ /pubmed/35169417 http://dx.doi.org/10.1016/j.radcr.2022.01.046 Text en © 2022 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
Onishi, Yasuyuki
Shimizu, Hironori
Ogawa, Eri
Okamoto, Tatsuya
Nakamoto, Yuji
Direct percutaneous access to an omental vein for embolization of Roux-en-Y limb varices in a child
title Direct percutaneous access to an omental vein for embolization of Roux-en-Y limb varices in a child
title_full Direct percutaneous access to an omental vein for embolization of Roux-en-Y limb varices in a child
title_fullStr Direct percutaneous access to an omental vein for embolization of Roux-en-Y limb varices in a child
title_full_unstemmed Direct percutaneous access to an omental vein for embolization of Roux-en-Y limb varices in a child
title_short Direct percutaneous access to an omental vein for embolization of Roux-en-Y limb varices in a child
title_sort direct percutaneous access to an omental vein for embolization of roux-en-y limb varices in a child
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8829525/
https://www.ncbi.nlm.nih.gov/pubmed/35169417
http://dx.doi.org/10.1016/j.radcr.2022.01.046
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