AI Article Synopsis
- Most gastric varices typically drain into the left renal vein, but a case is reported where plug-assisted retrograde transvenous obliteration (PARTO) was performed via a gastrocaval shunt instead.
- A 46-year-old woman with hepatitis B and liver cirrhosis presented with severe bleeding symptoms, prompting the use of PARTO after a failed TIPS revision.
- The procedure successfully eliminated the gastric varix, and the patient did not experience any further bleeding, demonstrating the safety and effectiveness of using PARTO through a gastrocaval shunt.
Article Abstract
Rationale: Most gastric varices at the fundus drain into the left renal vein via the gastrorenal shunt (80-85% of cases) or the inferior vena cava via the gastrocaval shunt (10-15%). Therefore, plug-assisted retrograde transvenous obliteration (PARTO) is usually performed via a gastrorenal shunt. Here, we report a case of gastric varix treated with PARTO via a gastrocaval shunt.
Patient Concerns: A 46-year-old woman with hepatitis B virus and liver cirrhosis visited the emergency room in our hospital with the main symptom of hematemesis and hematochezia.
Diagnoses: Endoscopy and computed tomography (CT) revealed a gastric varix and thrombotic-occluded transjugular intrahepatic portosystemic shunt (TIPS) stent.
Interventions: The patient underwent PARTO via a gastrocaval shunt to manage gastric variceal bleeding after failed TIPS revision.
Outcomes: On CT, the gastric varix completely disappeared. The patient did not experience any additional bleeding events.
Lessons: PARTO via a gastrocaval shunt is safe and effective.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8663895 | PMC |
| http://dx.doi.org/10.1097/MD.0000000000028107 | DOI Listing |
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