A case of ascending colon variceal bleeding treated with venous coil embolization.
A 38-year-old female with a history of alcoholic liver cirrhosis visited our hospital with a massive hematochezia. An esophagogastroduodenoscopy did not demonstrate any bleeding source, and a colonoscopy showed a massive hemorrhage in the ascending colon but without an obvious focus. The source of the bleeding could not be found with a mesenteric artery angiography. We performed an enhanced abdominal computed tomography, which revealed a distal ascending colonic varix, and assumed that the varix was the source of the bleeding. We performed a venous coil embolization and histoacryl injection to obliterate the colon varix. The intervention appeared to be successful because the vital signs and hemoglobin laboratory data remained stable and because the hematochezia was no longer observed. We report here on a rare case of colonic variceal bleeding that was treated with venous coil embolization.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon 301-723, South Korea.
Bong Suk
BS
Ko
Woo Tae
WT
Kim
Su Sun
SS
Chang
Eun Hye
EH
Kim
Seung Woo
SW
Lee
Won Seok
WS
Park
Yeon Soo
YS
Kim
Soon Woo
SW
Nam
Dong Soo
DS
Lee
Ji Chang
JC
Kim
Sang Bum
SB
Kang
D000328:Adult; D044682:Colon, Ascending / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000008:administration & dosage; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007267:Injections; D010690:Phlebography; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014648:Varicose Veins / Q000150:complications*
D004659:Enbucrilate
Colon ascending; Liver cirrhosis; Therapeutic embolization; Varicose veins