Successful treatment of giant rectal varices by modified percutaneous transhepatic obliteration with sclerosant: Report of a case.
We present a female patient with continuous melena, diagnosed with rectal variceal bleeding. She had a history of esophageal varices, which were treated with endoscopic therapy. Five years after the treatment of esophageal varices, continuous melena occurred. Since colonoscopy showed that the melena was caused by giant rectal varices, we thought that they were not suitable to receive endoscopic treatment. We chose the modified percutaneous transhepatic obliteration with sclerosant, which is one of the interventional radiology techniques but a new clinical procedure for rectal varices. After the patient received this therapy, her condition of rectal varices was markedly improved.
Okazaki
Hirotoshi
H
Department of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3, Asahimachi, Abeno-ku, Osaka, Japan.
Higuchi
Kazuhide
K
Shiba
Masatsugu
M
Nakamura
Shirou
S
Wada
Tomoko
T
Yamamori
Kazuki
K
Machida
Ai
A
Kadouchi
Kaori
K
Tamori
Akihiro
A
Tominaga
Kazunari
K
Watanabe
Toshio
T
Fujiwara
Yasuhiro
Y
Nakamura
Kenji
K
Arakawa
Tetsuo
T
D000368:Aged; D016461:Chemoembolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D006470:Hemorrhage; D006801:Humans; D008551:Melena; D012002:Rectal Diseases / Q000628:therapy*; D012597:Sclerosing Solutions / Q000494:pharmacology; D015911:Sclerotherapy / Q000379:methods*; D014648:Varicose Veins / Q000628:therapy*
D012597:Sclerosing Solutions