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Usefulness of multi-detector row computed tomography for management of duodenal varices by emergency balloon-occluded retrograde transvenous obliteration

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Abstract

Ectopic varices outside the gastroesophageal region are less common in patients with portal hypertension and liver cirrhosis. Among ectopic varices, bleeding from duodenal varices is often massive and fatal. Several reports have recently described various treatment options for duodenal varices including interventional radiology. It is necessary to thoroughly investigate variceal hemodynamics before conducting interventional radiology. We report a case of bleeding duodenal varices treated successfully with balloon-occluded retrograde transvenous obliteration (B-RTO) after investigating the hemodynamics of the duodenal varices with multi-detector row computed tomography (MDCT). MDCT easily identified the duodenal varices together with the afferent and efferent vessels. Our case suggests the usefulness of MDCT before B-RTO for investigating the hemodynamics and vascular anatomy of the duodenal varices and selection of the most appropriate therapy.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Gastroenterology and Metabolism, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan

    Takayuki Fukuhara, Hiroshi Aikata & Kazuaki Chayama

  2. Department of Diagnostic Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan

    Hideaki Kakizawa, Chihiro Tani, Masaki Ishikawa & Kazuo Awai

Authors
  1. Takayuki Fukuhara
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  2. Hideaki Kakizawa
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  3. Hiroshi Aikata
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  4. Chihiro Tani
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  5. Masaki Ishikawa
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  6. Kazuo Awai
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  7. Kazuaki Chayama
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Correspondence to Hiroshi Aikata.

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Fukuhara, T., Kakizawa, H., Aikata, H. et al. Usefulness of multi-detector row computed tomography for management of duodenal varices by emergency balloon-occluded retrograde transvenous obliteration. Clin J Gastroenterol 6, 243–247 (2013). https://doi.org/10.1007/s12328-013-0379-9

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  • DOI: https://doi.org/10.1007/s12328-013-0379-9

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