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.
Nishida
Norifumi
N
Department of Radiology, Osaka City University Medical School, Osaka, Japan. norifumin@med.osaka-cu.ac.jp
Ninoi
Teruhisa
T
Kitayama
Toshiaki
T
Yamamoto
Akira
A
Sakai
Yukimasa
Y
Sato
Kimihiko
K
Hamuro
Masao
M
Nakamura
Kenji
K
Inoue
Yuichi
Y
Yamada
Ryusaku
R
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