Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 3/2010

01-06-2010 | Case Report

Successful Treatment of Mesenteric Varices After Living Donor Liver Transplantation with Retrograde Transvenous Obliteration Via an Abdominal Wall Vein

Authors: Osamu Ikeda, Yoshitaka Tamura, Yutaka Nakasone, Yasuyuki Yamashita, Hideaki Okajima, Katsuhiro Asonuma, Yukihiro Inomata

Published in: CardioVascular and Interventional Radiology | Issue 3/2010

Login to get access

Abstract

Balloon-occluded retrograde transvenous obliteration is an established treatment for gastric varices; it has been used more rarely to treat mesenteric varices. We report a 12-year-old girl who had received a living donor liver transplant and suffered melena due to ruptured mesenteric varices. We addressed treatment of the mesenteric varices by retrograde transvenous obliteration of an abdominal wall collateral vein detected by superior mesenteric arteriography.
Literature
1.
go back to reference Lebrec D, Benhamou J (1985) Ectopic varices in portal hypertension. Clin Gastroenterol 14:105–121PubMed Lebrec D, Benhamou J (1985) Ectopic varices in portal hypertension. Clin Gastroenterol 14:105–121PubMed
2.
go back to reference Ibukuro K, Sugihara T, Tanaka R et al (2007) Balloon-occluded retrograde transvenous obliteration (BRTO) for a direct shunt between the inferior mesenteric vein and the inferior vena cava in a patient with hepatic encephalopathy. J Vasc Radiol 18:121–125CrossRef Ibukuro K, Sugihara T, Tanaka R et al (2007) Balloon-occluded retrograde transvenous obliteration (BRTO) for a direct shunt between the inferior mesenteric vein and the inferior vena cava in a patient with hepatic encephalopathy. J Vasc Radiol 18:121–125CrossRef
3.
go back to reference Kanagawa H, Miwa S, Kouyama H, Gotoh K, Uchida T, Okuda K (1996) Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. J Gastroenterol Hepatol 11:51–58CrossRefPubMed Kanagawa H, Miwa S, Kouyama H, Gotoh K, Uchida T, Okuda K (1996) Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. J Gastroenterol Hepatol 11:51–58CrossRefPubMed
4.
go back to reference Miyoshi H, Oshiba S, Matsumoto A, Takada K, Umegaki E, Hirata I (1991) Haptoglobin prevents renal dysfunction associated with intravariceal infusion of ethanolamine oleate. Am J Gastroenterol 86:1638–1641PubMed Miyoshi H, Oshiba S, Matsumoto A, Takada K, Umegaki E, Hirata I (1991) Haptoglobin prevents renal dysfunction associated with intravariceal infusion of ethanolamine oleate. Am J Gastroenterol 86:1638–1641PubMed
5.
6.
go back to reference Yuki N, Kubo M, Noro Y et al (1992) Jejunal varices as a cause of massive gastrointestinal bleeding. Am J Gastroenterol 87:514–517PubMed Yuki N, Kubo M, Noro Y et al (1992) Jejunal varices as a cause of massive gastrointestinal bleeding. Am J Gastroenterol 87:514–517PubMed
7.
go back to reference Joo YE, Kim HS, Choi SK, Rew JS, Kim HR, Kim SJ (2000) Massive gastrointestinal bleeding from jejunal varices. J Gastroenterol 35:775–778CrossRefPubMed Joo YE, Kim HS, Choi SK, Rew JS, Kim HR, Kim SJ (2000) Massive gastrointestinal bleeding from jejunal varices. J Gastroenterol 35:775–778CrossRefPubMed
8.
go back to reference Fix OK, Simon JT, Farraye FA et al (2006) Obscure gastrointestinal hemorrhage from mesenteric varices diagnosed by video capsule endoscopy. Dig Dis Sci 51(7):1169–1174CrossRefPubMed Fix OK, Simon JT, Farraye FA et al (2006) Obscure gastrointestinal hemorrhage from mesenteric varices diagnosed by video capsule endoscopy. Dig Dis Sci 51(7):1169–1174CrossRefPubMed
9.
go back to reference Wilson SE, Stone RT, Christie JP, Passaro E Jr (1979) Massive lower gastrointestinal bleeding from intestinal varices. Arch Surg 114:1158–1161PubMed Wilson SE, Stone RT, Christie JP, Passaro E Jr (1979) Massive lower gastrointestinal bleeding from intestinal varices. Arch Surg 114:1158–1161PubMed
10.
go back to reference Ono S, Irie T, Kuramochi M et al (2007) Successful treatment of mesenteric varices with balloon-occluded retrograde transvenous obliteration via an abdominal wall vein. J Vasc Interv Radiol 18:1033–1035CrossRefPubMed Ono S, Irie T, Kuramochi M et al (2007) Successful treatment of mesenteric varices with balloon-occluded retrograde transvenous obliteration via an abdominal wall vein. J Vasc Interv Radiol 18:1033–1035CrossRefPubMed
11.
go back to reference Hirota S, Matsumoto S, Tomita M, Sako M, Kono M (1999) Retrograde transvenous obliteration of gastric varices. Radiology 211:349–356PubMed Hirota S, Matsumoto S, Tomita M, Sako M, Kono M (1999) Retrograde transvenous obliteration of gastric varices. Radiology 211:349–356PubMed
12.
go back to reference Koito K, Namieno T, Nagakawa T, Morita K (1996) Balloon-occluded retrograde transvenous obliteration for gastric varices with gastrorenal or gastrocaval collaterals. AJR 167:1317–1320PubMed Koito K, Namieno T, Nagakawa T, Morita K (1996) Balloon-occluded retrograde transvenous obliteration for gastric varices with gastrorenal or gastrocaval collaterals. AJR 167:1317–1320PubMed
13.
go back to reference Sarin SK, Sachdev G, Nanda R, Misra SP, Broor SL (1988) Endoscopic sclerotherapy in the treatment of gastric varices. Br J Surg 75:747–750CrossRefPubMed Sarin SK, Sachdev G, Nanda R, Misra SP, Broor SL (1988) Endoscopic sclerotherapy in the treatment of gastric varices. Br J Surg 75:747–750CrossRefPubMed
Metadata
Title
Successful Treatment of Mesenteric Varices After Living Donor Liver Transplantation with Retrograde Transvenous Obliteration Via an Abdominal Wall Vein
Authors
Osamu Ikeda
Yoshitaka Tamura
Yutaka Nakasone
Yasuyuki Yamashita
Hideaki Okajima
Katsuhiro Asonuma
Yukihiro Inomata
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-009-9659-7

Other articles of this Issue 3/2010

CardioVascular and Interventional Radiology 3/2010 Go to the issue