Ascending colonic variceal bleeding: utility of phase-contrast MR portography in diagnosis and follow-up after treatment with TIPS and variceal embolization
| Autor: | Patrick Chevallier, N. Demuth, Bernard Padovani, Jean Paul Motamedi, F. X. Caroli-Bosc, F. Oddo |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
medicine.medical_specialty Colon medicine.medical_treatment Liver transplantation Magnetic resonance angiography Varicose Veins Melena medicine Humans Radiology Nuclear Medicine and imaging Embolization Portography Neuroradiology medicine.diagnostic_test business.industry Interventional radiology General Medicine Colonic varices Combined Modality Therapy Embolization Therapeutic Surgery Female Radiology medicine.symptom Portasystemic Shunt Transjugular Intrahepatic business Gastrointestinal Hemorrhage Magnetic Resonance Angiography Follow-Up Studies |
| Zdroj: | European radiology. 10(8) |
| ISSN: | 0938-7994 |
| Popis: | The authors describe the discovery of ascending colonic variceal veins via celiomesenteric diagnostic angiography following a bout of melena in a 44-year-old woman. Magnetic resonance imaging, including phase-contrast MR venography, allowed visualization of the portal and systemic veins immediately after the initial angiograms. The hemorrhagic episode did not resolve until after transjugular intrahepatic shunt insertion and selective variceal embolization through the shunt. At 1 week-, 3 months-, and 6 months post treatment, follow-up MR venography no longer revealed the presence of colonic varices. Colonoscopy at 6 months was normal and the patient did not have any further episodes of bleeding until a liver transplantation was performed after 9 months. |
| Databáze: | OpenAIRE |
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