title: Successful treatment of giant rectal varices by modified percutaneous transhepatic obliteration with sclerosant: Report of a case.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3, Asahimachi, Abeno-ku, Osaka, Japan.
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Okazaki
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Higuchi
authors.forename: Masatsugu
authors.initials: M
authors.lastname: Shiba
authors.forename: Shirou
authors.initials: S
authors.lastname: Nakamura
authors.forename: Tomoko
authors.initials: T
authors.lastname: Wada
authors.forename: Kazuki
authors.initials: K
authors.lastname: Yamamori
authors.forename: Ai
authors.initials: A
authors.lastname: Machida
authors.forename: Kaori
authors.initials: K
authors.lastname: Kadouchi
authors.forename: Akihiro
authors.initials: A
authors.lastname: Tamori
authors.forename: Kazunari
authors.initials: K
authors.lastname: Tominaga
authors.forename: Toshio
authors.initials: T
authors.lastname: Watanabe
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Fujiwara
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakamura
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Arakawa
mesh_terms: 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*
chemical_list: D012597:Sclerosing Solutions