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| http://dx.doi.org/10.14309/crj.0000000000000767 | DOI Listing |
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Transparaumbilical Intravariceal Sclerotherapy for Duodenal Varices Using Outflow Embolization.
Intern Med
March 2024
Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Japan.
A 55-year-old patient was admitted for variceal treatment, a complication of chronic portal hypertension and liver cirrhosis. Imaging studies revealed prominent duodenal varices, the pancreaticoduodenal vein as its afferent pathway, a drainer vessel into the inferior vena cava, and a paraumbilical vein. We successfully performed complete obliteration of the varix, including its afferent and efferent vessels, via the paraumbilical vein approach.
View Article and Find Full Text PDFParaumbilical Varix Masquerading as a Gastric Submucosal Nodule in Decompensated Liver Cirrhosis.
ACG Case Rep J
July 2022
Division of Digestive and Liver Diseases, Columbia University Irving Medical Center, New York, NY.
Esophageal variceal hemorrhage: the role of MDCT characteristics in predicting the presence of varices and bleeding risk.
Abdom Radiol (NY)
August 2020
Department of Radiology, School of Medicine, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Purpose: To investigate the associated Multi-Detector Computed Tomography (MDCT) features for esophageal varices (EVs) and esophageal variceal hemorrhage (EVH), with particular emphasis on different collateral veins.
Materials And Methods: All cirrhotic patients who had undergone both Upper Gastrointestinal Tract (UGIT) endoscopy and contrast-enhanced MDCT within 6 months from 2013 to 2019 were included in the study. MDCT of 124 patients, 76 males and 48 females, aged between 21 and 73 years old were evaluated for presence of EV and presence and size of different collaterals.
Successful embolization of ileal conduit stomal varices with N-butyl cyanoacrylate via a recanalized paraumbilical vein.
Radiol Case Rep
December 2018
Department of Urology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
A 77-year-old woman with liver cirrhosis was admitted to our hospital for marked hemorrhage in her ileal conduit stoma. She had a history of cystectomy and urinary diversion for bladder carcinoma 2 years ago. Contrast-enhanced CT demonstrated varices in the ileal conduit stoma.
View Article and Find Full Text PDFSuccessful Embolization of Bleeding Ileal Varices with N-butyl Cyanoacrylate via a Recanalized Paraumbilical Vein.
Cardiovasc Intervent Radiol
August 2018
Department of Gastroenterology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
Article Synopsis
- A 48-year-old woman suffering from alcoholic liver cirrhosis was admitted to the hospital due to intestinal bleeding and severe anemia, with previous unexplained episodes of hematochezia in the past year.
- A CT scan revealed ileal varices, which are swollen veins in the ileum, and these were treated by selectively blocking them with a substance called N-butyl cyanoacrylate (NBCA).
- The procedure used a paraumbilical vein access point to minimize bleeding risks related to the patient's coagulopathy and ascites, suggesting that antegrade embolization via this method is an effective treatment option.
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