Transjugular intrahepatic portosystemic stent shunt placement and embolization for hemorrhage associated with rupture of anorectal varices

Portal hypertension can lead to ectopic varices, which occur most frequently in the rectum. Rectal variceal bleeding in patients with portal hypertension is rare but can be life-threatening if not diagnosed and treated in a timely manner. However, no specific treatment guidelines have been establish...

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Bibliographic Details
Published in:Journal of international medical research 2018-04, Vol.46 (4), p.1666-1671
Main Authors: Wu, Xiuyan, Xuan, Wei, Song, Lei
Format: Article
Language:English
Subjects:
Angiography
Bile
Case Reports
Embolization
Embolization, Therapeutic
Esophageal and Gastric Varices - complications
Esophageal and Gastric Varices - diagnostic imaging
Female
Gastrointestinal Hemorrhage - complications
Gastrointestinal Hemorrhage - diagnostic imaging
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - therapy
Humans
Hypertension
Hypertension, Portal - complications
Hypertension, Portal - diagnostic imaging
Middle Aged
Portal Vein - diagnostic imaging
Portasystemic Shunt, Transjugular Intrahepatic
Rupture
Thrombosis - complications
Thrombosis - diagnostic imaging
Tomography, X-Ray Computed
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Summary:Portal hypertension can lead to ectopic varices, which occur most frequently in the rectum. Rectal variceal bleeding in patients with portal hypertension is rare but can be life-threatening if not diagnosed and treated in a timely manner. However, no specific treatment guidelines have been established for rectal variceal bleeding. We herein report a case involving a woman with portal hypertension due to autoimmune liver disease who was successfully treated with a transjugular intrahepatic portosystemic stent shunt and variceal embolization. We recommend treatment of refractory ectopic variceal bleeding with a transjugular intrahepatic portosystemic stent shunt in combination with embolization.
ISSN:0300-0605
1473-2300
DOI:10.1177/0300060517730720