| Autor: |
David S. Shin, MD, Andrew G. Kim, MD, Christopher R. Ingraham, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2019 |
| Předmět: |
|
| Zdroj: |
Radiology Case Reports, Vol 14, Iss 7, Pp 805-808 (2019) |
| Druh dokumentu: |
article |
| ISSN: |
1930-0433 |
| DOI: |
10.1016/j.radcr.2019.04.001 |
| Popis: |
Bleeding rectal varices in cirrhotic patients with portal hypertension can be difficult to treat endoscopically or surgically. Transjugular intrahepatic portosystemic shunt creation offers a minimally invasive method to effectively decompress the portal system but may be contraindicated in patients with poor hepatic reserve or hepatic encephalopathy. We present a case of a 44-year-old woman with persistent rectal variceal bleeding, who was a poor candidate for endoscopic intervention, surgery, or transjugular intrahepatic portosystemic shunt. We therefore performed balloon-occluded antegrade transvenous obliteration of the rectal varices via transjugular intrahepatic access, which effectively controlled her rectal bleeding. Keywords: Rectal varices, Portal hypertension, Cirrhosis, Gastrointestinal bleeding, Balloon-occluded antegrade transvenous obliteration (BATO) |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
