Dual balloon-occluded retrograde transvenous obliteration of gastric varix draining into the left adrenal vein and left inferior phrenic vein.
A 66-year-old woman with a gastric varix, draining into a dilated left adrenal vein and a left inferior phrenic vein, was treated with dual balloon-occluded retrograde transvenous obliteration (B-RTO). Under balloon occlusion of the left adrenal vein and the left inferior phrenic vein, retrograde injection of a sclerosant (5% ethanolamine oleate) into the gastric varix was performed. Two weeks later, disappearance of flow in the gastric varix was confirmed on endoscopic ultrasound examination.
Department of Radiology, Osaka City University Medical School, Osaka, Japan. norifumin@med.osaka-cu.ac.jp
Norifumi
N
Nishida
Teruhisa
T
Ninoi
Toshiaki
T
Kitayama
Akira
A
Yamamoto
Yukimasa
Y
Sakai
Kimihiko
K
Sato
Masao
M
Hamuro
Kenji
K
Nakamura
Yuichi
Y
Inoue
Ryusaku
R
Yamada
D000311:Adrenal Glands / Q000098:blood supply*; D000368:Aged; D021721:Balloon Occlusion; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005260:Female; D006801:Humans; D013270:Stomach / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000473:pathology / Q000601:surgery; D014682:Vena Cava, Inferior / Q000473:pathology / Q000601:surgery