Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach

A 74-year-old patient presented with hematochezia and a history of liver cirrhosis with repeated bleeding from esophageal and rectal varices. Endoscopic examination revealed multiple rectal varices with positive red color signs. Ascites, severe portosystemic thrombosis and a splenorenal shunt were d...

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Detalles Bibliográficos
Autores principales: Pas, Maciej, Jogo, Atsushi, Yamamoto, Akira, Nishida, Norifumi, Jogo, Eri, Kageyama, Ken, Sohgawa, Etsuji, Miki, Yukio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9530408/
https://www.ncbi.nlm.nih.gov/pubmed/36204409
http://dx.doi.org/10.1016/j.radcr.2022.08.096
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author Pas, Maciej
Jogo, Atsushi
Yamamoto, Akira
Nishida, Norifumi
Jogo, Eri
Kageyama, Ken
Sohgawa, Etsuji
Miki, Yukio
author_facet Pas, Maciej
Jogo, Atsushi
Yamamoto, Akira
Nishida, Norifumi
Jogo, Eri
Kageyama, Ken
Sohgawa, Etsuji
Miki, Yukio
author_sort Pas, Maciej
collection PubMed
description A 74-year-old patient presented with hematochezia and a history of liver cirrhosis with repeated bleeding from esophageal and rectal varices. Endoscopic examination revealed multiple rectal varices with positive red color signs. Ascites, severe portosystemic thrombosis and a splenorenal shunt were diagnosed on a contrast-enhanced dynamic computed tomography examination. From a transjugular approach, we circumvented thrombosed regions by maneuvering double balloon catheters through the shunt and dilated left colic marginal vein. We managed to successfully obliterate the varices.
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spelling pubmed-95304082022-10-05 Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach Pas, Maciej Jogo, Atsushi Yamamoto, Akira Nishida, Norifumi Jogo, Eri Kageyama, Ken Sohgawa, Etsuji Miki, Yukio Radiol Case Rep Case Report A 74-year-old patient presented with hematochezia and a history of liver cirrhosis with repeated bleeding from esophageal and rectal varices. Endoscopic examination revealed multiple rectal varices with positive red color signs. Ascites, severe portosystemic thrombosis and a splenorenal shunt were diagnosed on a contrast-enhanced dynamic computed tomography examination. From a transjugular approach, we circumvented thrombosed regions by maneuvering double balloon catheters through the shunt and dilated left colic marginal vein. We managed to successfully obliterate the varices. Elsevier 2022-09-30 /pmc/articles/PMC9530408/ /pubmed/36204409 http://dx.doi.org/10.1016/j.radcr.2022.08.096 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
Pas, Maciej
Jogo, Atsushi
Yamamoto, Akira
Nishida, Norifumi
Jogo, Eri
Kageyama, Ken
Sohgawa, Etsuji
Miki, Yukio
Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach
title Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach
title_full Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach
title_fullStr Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach
title_full_unstemmed Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach
title_short Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach
title_sort successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9530408/
https://www.ncbi.nlm.nih.gov/pubmed/36204409
http://dx.doi.org/10.1016/j.radcr.2022.08.096
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