title: [Percutaneous paraumbilical embolization of bleeding rectal varices due to portal hypertension].
abstract: IntroductionPortal hypertension may lead to severe esophageal or rectal variceal bleeding.Case reportWe present a case of a 67-year-old patient presenting with recurrent rectal variceal bleeding who was non-responsive to endoscopic treatment. We are reporting on an interventional therapeutic approach found in interdisciplinary consensus.DiscussionEndoscopy, surgery or TIPS (transjugular intrahepatic portosystemic shunt) can be performed in patients with gastrointestinal bleeding due to portal hypertension in liver cirrhosis. In cases not suitable for these treatment options, or in cases where these failed to stop the bleeding, radiological percutaneous paraumbilical coil embolization of the portal vein collateral feeding the bleeding could be performed. In our case, as well as in published cases with embolization of jejunal or esophageal hemorrhage, complete stopping of the bleeding could be achieved without further treatment or re-bleeding.
authors.affiliation: Diagnostic and Interventional Radiology, University hospitals of Ulm, Germany.
authors.forename: Tina
authors.initials: T
authors.lastname: Stuber
authors.affiliation: Diagnostic and Interventional Radiology, University hospitals of Ulm, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Schmitz
authors.affiliation: Diagnostic and Interventional Radiology, University hospitals of Ulm, Germany.
authors.forename: Hans Jürgen
authors.initials: HJ
authors.lastname: Brambs
mesh_terms: D000368:Aged; D004621:Embolization, Therapeutic / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome; D014648:Varicose Veins / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*