Abstract
Bleeding jejunal varices are rare and could be life threatening. They are usually found in the presence of portal hypertension and prior history of gastrointestinal surgery. They can be effectively managed by radiological interventions such as transjugular intrahepatic portosystemic shunt or transhepatic embolization of varices. However, in patients with portal vein obstruction, an alternative access is necessary. We report a case of bleeding jejunal varices associated with postoperative adhesion in a patient with portal vein thrombosis which was successfully managed by percutaneous transsplenic embolization.
This is a preview of subscription content, log in via an institution to check access.
References
Sato T, Akaike J, Toyota J, Karino Y, Ohmura T (2011) Clinicopathological features and treatment of ectopic varices with portal hypertension. Int J Hepatol 2011:960720
Vidal V, Joly L, Perreault P, et al. (2006) Usefulness of transjugular intrahepatic portosystemic shunt in the management of bleeding ectopic varices in cirrhotic patients. Cardiovasc Intervent Radiol 29:216–219
Chu HH, Kim HC, Jae HJ, et al. (2011) Percutaneous transsplenic access to the portal vein for management of vascular complication in patients with chronic liver disease. Cardiovasc Intervent Radiol. doi: 10.1007/s00270-011-0311-y
Sasamoto A, Kamiya J, Nimura Y, Nagino M (2010) Successful embolization therapy for bleeding from jejunal varices after choledochojejunostomy: report of a case. Surg Today 40:788–791
Boku M, Sugimoto K, Nakamura T, et al. (2006) Percutaneous trans-hepatic obliteration for bleeding esophagojejunal varices after total gastrectomy and esophagojejunostomy. Cardiovasc Intervent Radiol 29:1152–1155
Eriguchi N, Aoyagi S, Hara M, et al. (1998) Jejunal varices as a cause of massive gastrointestinal bleeding—a case report. Kurume Med J 45:227–230
Lim LG, Lee YM, Tan L, Chang S, Lim SG (2009) Percutaneous paraumbilical embolization as an unconventional and successful treatment for bleeding jejunal varices. World J Gastroenterol 15:3823–3826
Sato T, Yasui O, Kurokawa T, et al. (2003) Jejunal varix with extrahepatic portal obstruction treated by embolization using interventional radiology: report of a case. Surg Today 33:131–134
Gong GQ, Wang XL, Wang JH, et al. (2001) Percutaneous transsplenic embolization of esophageal and gastrio-fundal varices in 18 patients. World J Gastroenterol 7:880–883
Bertram H, Pfister ED, Becker T, Schoof S (2010) Transsplenic endovascular therapy of portal vein stenosis and subsequent complete portal vein thrombosis in a 2-year-old child. J Vasc Interv Radiol 21:1760–1764
Tuite DJ, Rehman J, Davies MH, et al. (2007) Percutaneous transsplenic access in the management of bleeding varices from chronic portal vein thrombosis. J Vasc Interv Radiol 18:1571–1575
Disclosure
All authors have no financial relationships with commercial entities.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lee, J.Y., Song, SY., Kim, J. et al. Percutaneous transsplenic embolization of jejunal varices in a patient with liver cirrhosis: a case report. Abdom Imaging 38, 52–55 (2013). https://doi.org/10.1007/s00261-012-9894-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-012-9894-2