Emergency splenic arterial embolization for massive variceal bleeding in liver recipient with left-sided portal hypertension.
Splenic vein thrombosis with gastric variceal bleeding is difficult to manage, and splenectomy may be necessary to stop variceal bleeding. The authors report the case of a post-orthotopic liver transplant patient with bleeding gastric varices secondary to splenic vein thrombosis treated by partial splenic artery embolization. Successful embolization was performed via transcatheter approach depositing Gianturco coils into the intrasplenic artery resulting in immediate cessation of variceal bleeding. No recurrence of bleeding was noted postembolization. In conclusion, splenic artery embolization can be used as treatment for postliver transplant variceal bleeding with hypersplenism.
Ou
Hsin-You
HY
Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, Taiwan.
Huang
Tung-Liang
TL
Chen
Tai-Yi
TY
Tsang
Leo Leung-Chit
LL
Concejero
Allan M
AM
Chen
Chao-Long
CL
Cheng
Yu-Fan
YF
D000328:Adult; D004621:Embolization, Therapeutic; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology*; D016031:Liver Transplantation / Q000009:adverse effects*; D008297:Male; D013157:Splenic Artery; D013162:Splenic Vein; D013927:Thrombosis / Q000150:complications*