Catheter Embolization of Type II Congenital Extrahepatic Portosystemic Shunt with Hematochezia: A Case Series and Review of the Literature
| Autor: | Lin Li, Haiyang Lai, Ketong Wu, Bo Zhang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Diagnostic Imaging Male medicine.medical_specialty Vascular Malformations medicine.medical_treatment 030204 cardiovascular system & hematology 030218 nuclear medicine & medical imaging Diagnosis Differential Young Adult 03 medical and health sciences Superior rectal vein 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Embolization Aged 80 and over Portal Vein business.industry Colonic varices Embolization Therapeutic Hematochezia Surgery Portal System Catheter medicine.vein Child Preschool Inferior mesenteric vein Differential diagnosis Portosystemic shunt medicine.symptom Gastrointestinal Hemorrhage Cardiology and Cardiovascular Medicine business |
| Zdroj: | CardioVascular and Interventional Radiology. 41:1121-1127 |
| ISSN: | 1432-086X 0174-1551 |
| DOI: | 10.1007/s00270-018-1972-6 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink