title: Percutaneous retrograde sclerotherapy for refractory bleeding of jejunal varices: direct injection via superficial epigastric vein.
abstract: Small-bowel varices are rare and almost always occur in cases with portal hypertension. We encountered a patient with bleeding jejunal varices due to liver cirrhosis. Percutaneous retrograde sclerotherapy was performed via the superficial epigastric vein. Melena disappeared immediately after treatment. Disappearance of jejunal varices was confirmed by contrast-enhanced computed tomography. After 24 months of follow-up, no recurrent melena was observed.
authors.affiliation: Department of Radiology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi-ken 329-0498, Japan. nktmnbohsu@jichi.ac.jp
authors.forename: Manabu
authors.initials: M
authors.lastname: Nakata
authors.forename: Waka
authors.initials: W
authors.lastname: Nakata
authors.forename: Norio
authors.initials: N
authors.lastname: Isoda
authors.forename: Mitsuyo
authors.initials: M
authors.lastname: Yoshizawa
authors.forename: Hideharu
authors.initials: H
authors.lastname: Sugimoto
mesh_terms: D003287:Contrast Media; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007583:Jejunum / Q000098:blood supply*; D008551:Melena / Q000150:complications; D008875:Middle Aged; D015911:Sclerotherapy / Q000379:methods*; D012771:Shock, Hemorrhagic / Q000209:etiology; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media