Pediatric Radiology

, Volume 43, Issue 9, pp 1218–1220

Creation of a percutaneous mesocaval shunt to control variceal bleeding in a child

  • Colin Burke
  • Andrew G. Taylor
  • Ernest J. Ring
  • Robert K. KerlanJr.
Case Report

DOI: 10.1007/s00247-013-2643-z

Cite this article as:
Burke, C., Taylor, A.G., Ring, E.J. et al. Pediatr Radiol (2013) 43: 1218. doi:10.1007/s00247-013-2643-z

Abstract

Although transjugular intrahepatic portosystemic shunt (TIPS) placement is the standard procedure for the treatment of portal hypertension, it is often impossible to perform in patients with extrahepatic portal vein occlusion. In these patients, options for decompressing the liver are few. In this report, we present a novel solution for managing gastro-esophageal hemorrhage in a child with portal hypertension and extrahepatic portal vein occlusion, through the creation of a percutaneous mesocaval shunt.

Keywords

Portal hypertensionPercutaneousShuntMesocavalChild

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Colin Burke
    • 1
  • Andrew G. Taylor
    • 2
  • Ernest J. Ring
    • 2
  • Robert K. KerlanJr.
    • 2
  1. 1.University of Miami Miller School of MedicineMiamiUSA
  2. 2.Department of Radiology & Biomedical ImagingUniversity of California, San FranciscoSan FranciscoUSA