Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach

Maciej Pas, MD, PhD; Atsushi Jogo, MD, PhD; Akira Yamamoto, MD, PhD; Norifumi Nishida, MD, PhD; Eri Jogo, MD; Ken Kageyama, MD, PhD; Etsuji Sohgawa, MD; Yukio Miki, MD, PhD

Radiology Case Reports (Dec 2022)

Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach

Maciej Pas, MD, PhD,
Atsushi Jogo, MD, PhD,
Akira Yamamoto, MD, PhD,
Norifumi Nishida, MD, PhD,
Eri Jogo, MD,
Ken Kageyama, MD, PhD,
Etsuji Sohgawa, MD,
Yukio Miki, MD, PhD

Affiliations

Maciej Pas, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan
Atsushi Jogo, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan; Corresponding author.
Akira Yamamoto, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan
Norifumi Nishida, MD, PhD: Department of Radiology, Saiseikai Nakatsu Hospital, 2-10-39 Shibata, Kita-ward, Osaka City, Osaka, 530-0012, Japan
Eri Jogo, MD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan
Ken Kageyama, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan
Etsuji Sohgawa, MD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan
Yukio Miki, MD, PhD: Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan

Journal volume & issue: Vol. 17, no. 12
pp. 4679 – 4684

Abstract

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A 74-year-old patient presented with hematochezia and a history of liver cirrhosis with repeated bleeding from esophageal and rectal varices. Endoscopic examination revealed multiple rectal varices with positive red color signs. Ascites, severe portosystemic thrombosis and a splenorenal shunt were diagnosed on a contrast-enhanced dynamic computed tomography examination. From a transjugular approach, we circumvented thrombosed regions by maneuvering double balloon catheters through the shunt and dilated left colic marginal vein. We managed to successfully obliterate the varices.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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