Percutaneous Transhepatic Embolization of a Bleeding Colic Vein in a Cirrhotic Patient With Massive Hematochezia: A Case Report and Literature Review

Ectopic varices are an uncommon cause of gastrointestinal bleeding in patients with portal hypertension. A 43-year-old female with alcoholic cirrhosis developed massive hematochezia and hemorrhagic shock, requiring emergent angiography and image-guided intervention. Angiography revealed active extra...

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Autores principales: Parikh, Aaroh, Leon, David, Ghasemi Rad, Mohammad, Wynne, David, Amaresh, Amar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Radiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9262639/
https://www.ncbi.nlm.nih.gov/pubmed/35812565
http://dx.doi.org/10.7759/cureus.25736
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author Parikh, Aaroh
Leon, David
Ghasemi Rad, Mohammad
Wynne, David
Amaresh, Amar
author_facet Parikh, Aaroh
Leon, David
Ghasemi Rad, Mohammad
Wynne, David
Amaresh, Amar
author_sort Parikh, Aaroh
collection PubMed
description Ectopic varices are an uncommon cause of gastrointestinal bleeding in patients with portal hypertension. A 43-year-old female with alcoholic cirrhosis developed massive hematochezia and hemorrhagic shock, requiring emergent angiography and image-guided intervention. Angiography revealed active extravasation from a branch of the right colic vein. The patient underwent percutaneous transhepatic embolization of the bleeding colic vein with technical success demonstrated on post-embolization angiography. Treatment of bleeding ectopic varices may require endoscopic, image-guided, or surgical approaches.
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spelling pubmed-92626392022-07-09 Percutaneous Transhepatic Embolization of a Bleeding Colic Vein in a Cirrhotic Patient With Massive Hematochezia: A Case Report and Literature Review Parikh, Aaroh Leon, David Ghasemi Rad, Mohammad Wynne, David Amaresh, Amar Cureus Radiology Ectopic varices are an uncommon cause of gastrointestinal bleeding in patients with portal hypertension. A 43-year-old female with alcoholic cirrhosis developed massive hematochezia and hemorrhagic shock, requiring emergent angiography and image-guided intervention. Angiography revealed active extravasation from a branch of the right colic vein. The patient underwent percutaneous transhepatic embolization of the bleeding colic vein with technical success demonstrated on post-embolization angiography. Treatment of bleeding ectopic varices may require endoscopic, image-guided, or surgical approaches. Cureus 2022-06-07 /pmc/articles/PMC9262639/ /pubmed/35812565 http://dx.doi.org/10.7759/cureus.25736 Text en Copyright © 2022, Parikh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Parikh, Aaroh
Leon, David
Ghasemi Rad, Mohammad
Wynne, David
Amaresh, Amar
Percutaneous Transhepatic Embolization of a Bleeding Colic Vein in a Cirrhotic Patient With Massive Hematochezia: A Case Report and Literature Review
title Percutaneous Transhepatic Embolization of a Bleeding Colic Vein in a Cirrhotic Patient With Massive Hematochezia: A Case Report and Literature Review
title_full Percutaneous Transhepatic Embolization of a Bleeding Colic Vein in a Cirrhotic Patient With Massive Hematochezia: A Case Report and Literature Review
title_fullStr Percutaneous Transhepatic Embolization of a Bleeding Colic Vein in a Cirrhotic Patient With Massive Hematochezia: A Case Report and Literature Review
title_full_unstemmed Percutaneous Transhepatic Embolization of a Bleeding Colic Vein in a Cirrhotic Patient With Massive Hematochezia: A Case Report and Literature Review
title_short Percutaneous Transhepatic Embolization of a Bleeding Colic Vein in a Cirrhotic Patient With Massive Hematochezia: A Case Report and Literature Review
title_sort percutaneous transhepatic embolization of a bleeding colic vein in a cirrhotic patient with massive hematochezia: a case report and literature review
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9262639/
https://www.ncbi.nlm.nih.gov/pubmed/35812565
http://dx.doi.org/10.7759/cureus.25736
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