Percutaneous transhepatic sclerotherapy for ascending colonic varices due to left-sided portal hypertension

Left-sided portal hypertension (LSPH) causes varices and splenomegaly due to splenic vein issues. Colonic varices are rare and lack standardized treatment. We report the successful treatment of colonic varices caused by LSPH, by addressing both the afferent and efferent veins. A 70-year-old man with...

Full description

Saved in:
Bibliographic Details
Published in:Radiology case reports 2024, Vol.19 (7), p.2669-2673
Main Authors: Sasaki, Fumi, Jogo, Atsushi, Yamamoto, Akira, Kageyama, Ken, Tashiro, Akane, Mitsuyama, Yasuhito, Oura, Tatsushi, Matsushita, Kazuki, Asano, Kazuo, Terayama, Eisaku, Ozaki, Masanori, Sakai, Yuki, Harada, Shohei, Murai, Kazuki, Nakano, Mariko, Kita, Ryuichi, Kaminou, Toshio, Miki, Yukio
Format: Report
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Left-sided portal hypertension (LSPH) causes varices and splenomegaly due to splenic vein issues. Colonic varices are rare and lack standardized treatment. We report the successful treatment of colonic varices caused by LSPH, by addressing both the afferent and efferent veins. A 70-year-old man with distal cholangiocarcinoma had surgery without splenic vein resection, leading to proximal splenic vein stenosis and varices at multiple locations. Percutaneous transhepatic splenic venography revealed that collateral veins flowed into the ascending colonic varices and returned to the portal vein. Complete thrombosis of the varices was achieved by injecting sclerosants and placing coils in both the afferent and efferent veins. The procedure was safe and effective, with no variceal recurrence. This approach provides a minimally invasive option for treating colonic varices associated with LSPH.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.03.040