Percutaneous Trans-splenic Obliteration for Duodenal Variceal bleeding: A Case Report.
Korean J Gastroenterol
; 76(6): 331-336, 2020 12 25.
Article
em En
| MEDLINE
| ID: mdl-33361709
ABSTRACT
Duodenal varices are a serious complication of portal hypertension. Bleeding from duodenal varices is rare, but when bleeding does occur, it is massive and can be fatal. Unfortunately, the optimal therapeutic modality for duodenal variceal bleeding is unclear. This paper presents a patient with duodenal variceal bleeding that was managed successfully using percutaneous trans-splenic variceal obliteration (PTVO). A 56-year-old man with a history of alcoholic cirrhosis presented with a 6-day history of melena. Emergency esophagogastroduodenoscopy revealed a large, bluish mass with a nipple sign in the second portion of the duodenum. Coil embolization of the duodenal varix was performed via a trans-splenic approach (i.e., PTVO). The patient no longer complained of melena after treatment. The duodenal varix was no longer visible at the follow-up esophagogastroduodenoscopy performed three months after PTVO. The use of PTVO might be a viable option for the treatment of duodenal variceal bleeding.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Varizes
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Duodenopatias
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Hemorragia Gastrointestinal
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article