Percutaneous transsplenic venous embolization of elevated jejunal varices after pancreaticoduodenectomy: A case report

Recent advances in chemotherapy and radiotherapy have led to an increase in the number of long-term survivors of pancreatic cancer. However, this has also increased the number of patients suffering from ectopic varices and bleeding owing to left-sided portal hypertension and thrombocytopenia caused...

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Bibliographic Details
Published in:Radiology case reports 2023-03, Vol.18 (3), p.737-740
Main Authors: Higashino, Nobuyuki, Kawai, Nobuyuki, Sonomura, Tetsuo, Fukuda, Kodai, Sato, Hirotatsu, Ikoma, Akira, Kawai, Manabu, Minamiguchi, Hiroki
Format: Article
Language:English
Subjects:
Case Report
Elevated jejunal varices
Left-sided portal hypertension
Pancreaticoduodenectomy
Percutaneous transsplenic venous embolization
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Summary:Recent advances in chemotherapy and radiotherapy have led to an increase in the number of long-term survivors of pancreatic cancer. However, this has also increased the number of patients suffering from ectopic varices and bleeding owing to left-sided portal hypertension and thrombocytopenia caused by splenomegaly after pancreaticoduodenectomy combined with resection of the splenic vein. A 65-year-old woman with varices of the elevated jejunum due to left sided portal hypertension after pancreaticoduodenectomy had repeated melena, which started about 1 year before admission. We describe the first reported case of percutaneous transsplenic venous embolization using metallic coils, which successfully achieved hemostasis of refractory bleeding from the elevated jejunal varices after pancreaticoduodenectomy.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2022.11.053