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Catheter Embolization of Type II Congenital Extrahepatic Portosystemic Shunt with Hematochezia: A Case Series and Review of the Literature

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Abstract

Hematochezia is a rare clinical presentation of congenital extrahepatic portosystemic shunt (CEPS). We describe a series of three patients with type II CEPS presenting as hematochezia that were treated by catheter embolization, followed by a brief review of published articles. Hematochezia of the patients was due to the giant inferior mesenteric vein, superior rectal vein and colonic varices. The catheter embolization was successfully accomplished in all of the patients. After a mean follow-up of 27 months, no serious adverse effects were observed. For unexplained massive hematochezia, CEPS needs to be considered as a differential diagnosis. Based on our present results and the review of the literature, transcatheter permanent embolization of the giant inferior mesenteric vein might be an effective and safe treatment for type II CEPS.

Level of Evidence Level 4, case series.

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Acknowledgements

This study was supported by a grant from National Natural Science Foundation of China (No. 81301978), Ph.D. Programs Foundation of Ministry of Education of China (No. 20130171120105) and Young Teacher Cultivation Project of Sun Yat-sen University (No. 13YKPY39).

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Authors and Affiliations

  1. Department of Radiology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510655, China

    Bo Zhang, Ke-Tong Wu, Lin Li & Hai-Yang Lai

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  1. Bo Zhang
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  2. Ke-Tong Wu
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  3. Lin Li
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Correspondence to Bo Zhang.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in this study.

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Zhang, B., Wu, KT., Li, L. et al. Catheter Embolization of Type II Congenital Extrahepatic Portosystemic Shunt with Hematochezia: A Case Series and Review of the Literature. Cardiovasc Intervent Radiol 41, 1121–1127 (2018). https://doi.org/10.1007/s00270-018-1972-6

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  • DOI: https://doi.org/10.1007/s00270-018-1972-6

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