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Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension

An 81-year-old man with previously diagnosed cancer of the pancreatic body presented with melena and anemia. Upper gastrointestinal endoscopy showed gastric varices with bleeding in the entire stomach. Contrast-enhanced computed tomography identified a splenic vein occlusion resulting from invasion...

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Autores principales: Tanaka, Yuki, Kariya, Shuji, Nakatani, Miyuki, Ueno, Yutaka, Ono, Yasuyuki, Maruyama, Takuji, Komemushi, Atsushi, Tanigawa, Noboru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Interventional Radiology 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527103/
https://www.ncbi.nlm.nih.gov/pubmed/36196384
http://dx.doi.org/10.22575/interventionalradiology.2021-0019
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author Tanaka, Yuki
Kariya, Shuji
Nakatani, Miyuki
Ueno, Yutaka
Ono, Yasuyuki
Maruyama, Takuji
Komemushi, Atsushi
Tanigawa, Noboru
author_facet Tanaka, Yuki
Kariya, Shuji
Nakatani, Miyuki
Ueno, Yutaka
Ono, Yasuyuki
Maruyama, Takuji
Komemushi, Atsushi
Tanigawa, Noboru
author_sort Tanaka, Yuki
collection PubMed
description An 81-year-old man with previously diagnosed cancer of the pancreatic body presented with melena and anemia. Upper gastrointestinal endoscopy showed gastric varices with bleeding in the entire stomach. Contrast-enhanced computed tomography identified a splenic vein occlusion resulting from invasion by the pancreatic body cancer and dilated collateral pathways from the splenic hilum to the gastric fundus. The patient was diagnosed with gastric varices associated with left-sided portal hypertension caused by obstruction of the splenic vein and underwent percutaneous transsplenic embolization with n-butyl-2-cyanoacrylate mixed with lipiodol. Splenic subcapsular hematoma occurred and was treated conservatively. The patient died of advanced cancer 5 months after the procedure, without experiencing rebleeding. Percutaneous transsplenic embolization was effective in treating gastric variceal bleeding caused by left-sided portal hypertension.
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spelling pubmed-95271032022-10-03 Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension Tanaka, Yuki Kariya, Shuji Nakatani, Miyuki Ueno, Yutaka Ono, Yasuyuki Maruyama, Takuji Komemushi, Atsushi Tanigawa, Noboru Interv Radiol (Higashimatsuyama) Case Report An 81-year-old man with previously diagnosed cancer of the pancreatic body presented with melena and anemia. Upper gastrointestinal endoscopy showed gastric varices with bleeding in the entire stomach. Contrast-enhanced computed tomography identified a splenic vein occlusion resulting from invasion by the pancreatic body cancer and dilated collateral pathways from the splenic hilum to the gastric fundus. The patient was diagnosed with gastric varices associated with left-sided portal hypertension caused by obstruction of the splenic vein and underwent percutaneous transsplenic embolization with n-butyl-2-cyanoacrylate mixed with lipiodol. Splenic subcapsular hematoma occurred and was treated conservatively. The patient died of advanced cancer 5 months after the procedure, without experiencing rebleeding. Percutaneous transsplenic embolization was effective in treating gastric variceal bleeding caused by left-sided portal hypertension. The Japanese Society of Interventional Radiology 2022-05-12 /pmc/articles/PMC9527103/ /pubmed/36196384 http://dx.doi.org/10.22575/interventionalradiology.2021-0019 Text en © 2022 Japanese Society of Interventional Radiology https://creativecommons.org/licenses/by-nc/4.0/Interventional Radiology is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc/4.0/).
spellingShingle Case Report
Tanaka, Yuki
Kariya, Shuji
Nakatani, Miyuki
Ueno, Yutaka
Ono, Yasuyuki
Maruyama, Takuji
Komemushi, Atsushi
Tanigawa, Noboru
Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension
title Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension
title_full Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension
title_fullStr Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension
title_full_unstemmed Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension
title_short Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension
title_sort percutaneous transsplenic embolization of gastric varices in left-sided portal hypertension
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527103/
https://www.ncbi.nlm.nih.gov/pubmed/36196384
http://dx.doi.org/10.22575/interventionalradiology.2021-0019
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