Skip to main content
Top
Published in: Abdominal Radiology 1/2013

01-02-2013

Percutaneous transsplenic embolization of jejunal varices in a patient with liver cirrhosis: a case report

Authors: Ji Young Lee, Soon-Young Song, Jinoo Kim, Byung-Hee Koh, Yongsoo Kim, Woo Kyoung Jeong, Min Yeong Kim

Published in: Abdominal Radiology | Issue 1/2013

Login to get access

Abstract

Bleeding jejunal varices are rare and could be life threatening. They are usually found in the presence of portal hypertension and prior history of gastrointestinal surgery. They can be effectively managed by radiological interventions such as transjugular intrahepatic portosystemic shunt or transhepatic embolization of varices. However, in patients with portal vein obstruction, an alternative access is necessary. We report a case of bleeding jejunal varices associated with postoperative adhesion in a patient with portal vein thrombosis which was successfully managed by percutaneous transsplenic embolization.
Literature
1.
go back to reference Sato T, Akaike J, Toyota J, Karino Y, Ohmura T (2011) Clinicopathological features and treatment of ectopic varices with portal hypertension. Int J Hepatol 2011:960720PubMed Sato T, Akaike J, Toyota J, Karino Y, Ohmura T (2011) Clinicopathological features and treatment of ectopic varices with portal hypertension. Int J Hepatol 2011:960720PubMed
2.
go back to reference Vidal V, Joly L, Perreault P, et al. (2006) Usefulness of transjugular intrahepatic portosystemic shunt in the management of bleeding ectopic varices in cirrhotic patients. Cardiovasc Intervent Radiol 29:216–219PubMedCrossRef Vidal V, Joly L, Perreault P, et al. (2006) Usefulness of transjugular intrahepatic portosystemic shunt in the management of bleeding ectopic varices in cirrhotic patients. Cardiovasc Intervent Radiol 29:216–219PubMedCrossRef
3.
go back to reference Chu HH, Kim HC, Jae HJ, et al. (2011) Percutaneous transsplenic access to the portal vein for management of vascular complication in patients with chronic liver disease. Cardiovasc Intervent Radiol. doi: 10.1007/s00270-011-0311-y Chu HH, Kim HC, Jae HJ, et al. (2011) Percutaneous transsplenic access to the portal vein for management of vascular complication in patients with chronic liver disease. Cardiovasc Intervent Radiol. doi: 10.​1007/​s00270-011-0311-y
4.
go back to reference Sasamoto A, Kamiya J, Nimura Y, Nagino M (2010) Successful embolization therapy for bleeding from jejunal varices after choledochojejunostomy: report of a case. Surg Today 40:788–791PubMedCrossRef Sasamoto A, Kamiya J, Nimura Y, Nagino M (2010) Successful embolization therapy for bleeding from jejunal varices after choledochojejunostomy: report of a case. Surg Today 40:788–791PubMedCrossRef
5.
go back to reference Boku M, Sugimoto K, Nakamura T, et al. (2006) Percutaneous trans-hepatic obliteration for bleeding esophagojejunal varices after total gastrectomy and esophagojejunostomy. Cardiovasc Intervent Radiol 29:1152–1155PubMedCrossRef Boku M, Sugimoto K, Nakamura T, et al. (2006) Percutaneous trans-hepatic obliteration for bleeding esophagojejunal varices after total gastrectomy and esophagojejunostomy. Cardiovasc Intervent Radiol 29:1152–1155PubMedCrossRef
6.
go back to reference Eriguchi N, Aoyagi S, Hara M, et al. (1998) Jejunal varices as a cause of massive gastrointestinal bleeding—a case report. Kurume Med J 45:227–230PubMedCrossRef Eriguchi N, Aoyagi S, Hara M, et al. (1998) Jejunal varices as a cause of massive gastrointestinal bleeding—a case report. Kurume Med J 45:227–230PubMedCrossRef
7.
go back to reference Lim LG, Lee YM, Tan L, Chang S, Lim SG (2009) Percutaneous paraumbilical embolization as an unconventional and successful treatment for bleeding jejunal varices. World J Gastroenterol 15:3823–3826PubMedCrossRef Lim LG, Lee YM, Tan L, Chang S, Lim SG (2009) Percutaneous paraumbilical embolization as an unconventional and successful treatment for bleeding jejunal varices. World J Gastroenterol 15:3823–3826PubMedCrossRef
8.
go back to reference Sato T, Yasui O, Kurokawa T, et al. (2003) Jejunal varix with extrahepatic portal obstruction treated by embolization using interventional radiology: report of a case. Surg Today 33:131–134PubMedCrossRef Sato T, Yasui O, Kurokawa T, et al. (2003) Jejunal varix with extrahepatic portal obstruction treated by embolization using interventional radiology: report of a case. Surg Today 33:131–134PubMedCrossRef
9.
go back to reference Gong GQ, Wang XL, Wang JH, et al. (2001) Percutaneous transsplenic embolization of esophageal and gastrio-fundal varices in 18 patients. World J Gastroenterol 7:880–883PubMed Gong GQ, Wang XL, Wang JH, et al. (2001) Percutaneous transsplenic embolization of esophageal and gastrio-fundal varices in 18 patients. World J Gastroenterol 7:880–883PubMed
10.
go back to reference Bertram H, Pfister ED, Becker T, Schoof S (2010) Transsplenic endovascular therapy of portal vein stenosis and subsequent complete portal vein thrombosis in a 2-year-old child. J Vasc Interv Radiol 21:1760–1764PubMedCrossRef Bertram H, Pfister ED, Becker T, Schoof S (2010) Transsplenic endovascular therapy of portal vein stenosis and subsequent complete portal vein thrombosis in a 2-year-old child. J Vasc Interv Radiol 21:1760–1764PubMedCrossRef
11.
go back to reference Tuite DJ, Rehman J, Davies MH, et al. (2007) Percutaneous transsplenic access in the management of bleeding varices from chronic portal vein thrombosis. J Vasc Interv Radiol 18:1571–1575PubMedCrossRef Tuite DJ, Rehman J, Davies MH, et al. (2007) Percutaneous transsplenic access in the management of bleeding varices from chronic portal vein thrombosis. J Vasc Interv Radiol 18:1571–1575PubMedCrossRef
Metadata
Title
Percutaneous transsplenic embolization of jejunal varices in a patient with liver cirrhosis: a case report
Authors
Ji Young Lee
Soon-Young Song
Jinoo Kim
Byung-Hee Koh
Yongsoo Kim
Woo Kyoung Jeong
Min Yeong Kim
Publication date
01-02-2013
Publisher
Springer-Verlag
Published in
Abdominal Radiology / Issue 1/2013
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-012-9894-2

Other articles of this Issue 1/2013

Abdominal Radiology 1/2013 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.