Successful hemostasis of intractable rectal variceal bleeding using variceal embolization.
Portal hypertension causes portosystemic shunting along the gastrointestinal tract, resulting in gastrointestinal varices. Rectal varices and their bleeding is a rare complication, but it can be fatal without appropriate treatment. However, because of its rarity, no established treatment strategy is yet available. In the setting of intractable rectal variceal bleeding, a transjugular intravenous portosystemic shunt can be a treatment of choice to enable portal decompression and thus achieve hemostasis. However, in the case of recurrent rectal variceal bleeding despite successful transjugular intravenous portosystemic shunt, alternative measures to control bleeding are required. Here, we report on a patient with liver cirrhosis who experienced recurrent rectal variceal bleeding even after successful transjugular intravenous portosystemic shunt and was successfully treated with variceal embolization.
Sung Soo Ahn, Eun Hye Kim, Seung Up Kim, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
Sung Soo
SS
Ahn
Sung Soo Ahn, Eun Hye Kim, Seung Up Kim, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
Eun Hye
EH
Kim
Sung Soo Ahn, Eun Hye Kim, Seung Up Kim, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
Man Deuk
MD
Kim
Sung Soo Ahn, Eun Hye Kim, Seung Up Kim, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
Won Jae
WJ
Lee
Sung Soo Ahn, Eun Hye Kim, Seung Up Kim, Department of Internal Medicine, Yonsei University College of Medicine, Seoul 120-752, South Korea.
Seung Up
SU
Kim
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000209:etiology*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications* / Q000175:diagnosis; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D012007:Rectum / Q000098:blood supply*; D012008:Recurrence; D012812:Sigmoidoscopy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014648:Varicose Veins / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
Ectopic varices; Embolization; Rectal varices; Transjugular intravenous portosystemic shunt; Variceal bleeding