Successful hemostasis of intractable rectal variceal bleeding using variceal embolization.

Abstract

Portal hypertension causes portosystemic shunting along the gastrointestinal tract, resulting in gastrointestinal varices. Rectal varices and their bleeding is a rare complication, but it can be fatal without appropriate treatment. However, because of its rarity, no established treatment strategy is yet available. In the setting of intractable rectal variceal bleeding, a transjugular intravenous portosystemic shunt can be a treatment of choice to enable portal decompression and thus achieve hemostasis. However, in the case of recurrent rectal variceal bleeding despite successful transjugular intravenous portosystemic shunt, alternative measures to control bleeding are required. Here, we report on a patient with liver cirrhosis who experienced recurrent rectal variceal bleeding even after successful transjugular intravenous portosystemic shunt and was successfully treated with variceal embolization.

• Authors: Sung Soo Ahn, Eun Hye Kim, Man Deuk Kim, Won Jae Lee, Seung Up Kim
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 21 Issue 8 Pg. 2558-62 (Feb 28 2015) ISSN: 2219-2840 [Electronic] United States
• PMID: 25741168 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Embolization, Therapeutic
• Female
• Gastrointestinal Hemorrhage (diagnosis, etiology, therapy)
• Humans
• Hypertension, Portal (diagnosis, etiology)
• Liver Cirrhosis, Alcoholic (complications, diagnosis)
• Portasystemic Shunt, Transjugular Intrahepatic
• Rectum (blood supply)
• Recurrence
• Sigmoidoscopy
• Tomography, X-Ray Computed
• Treatment Outcome
• Varicose Veins (diagnosis, etiology, therapy)