Left-sided portal hypertension (LSPH) causes varices and splenomegaly due to splenic vein issues. Colonic varices are rare and lack standardized treatment. We report the successful treatment of colonic varices caused by LSPH, by addressing both the afferent and efferent veins. A 70-year-old man with distal cholangiocarcinoma had surgery without splenic vein resection, leading to proximal splenic vein stenosis and varices at multiple locations. Percutaneous transhepatic splenic venography revealed that collateral veins flowed into the ascending colonic varices and returned to the portal vein. Complete thrombosis of the varices was achieved by injecting sclerosants and placing coils in both the afferent and efferent veins. The procedure was safe and effective, with no variceal recurrence. This approach provides a minimally invasive option for treating colonic varices associated with LSPH.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11033108 | PMC |
| http://dx.doi.org/10.1016/j.radcr.2024.03.040 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Article Synopsis
- There is limited research on managing iron deficiency anemia following severe acute gastrointestinal bleeding, with existing studies mainly focusing on upper gastrointestinal cases and laboratory findings rather than clinical results.
- A retrospective analysis of 337 hospitalized adults showed that only 50% had iron studies ordered; among those tested, 75% had iron deficiency, but only a small percentage received appropriate iron treatments.
- By four months post-discharge, those treated with intravenous or oral iron showed significant improvements in hemoglobin levels, but patients with multiple health issues faced poorer clinical outcomes compared to those with fewer comorbidities.
Idiopathic colonic and small bowel varices: a rare endoscopic finding.
ANZ J Surg
November 2024
Department of Colorectal Surgery, Sengkang General Hospital, Singapore.
Rare case of successfully operated idiopathic colonic varicosity.
Int J Surg Case Rep
October 2024
Department of Surgery, Faculty of General Medicine, University of Debrecen, Debrecen, Móricz Zsigmond körút 22, Hungary.
Introduction: Ectopic gastrointestinal varicosities are defined as dilated portosystemic collateral veins that may localize anywhere in the gastrointestinal tract outside the gastroesophageal region. Ectopic colonic varices can be considered idiopathic when other etiology that related to portal hypertension or portal vein thrombosis have been excluded.
Case Presentation: A forty-five-year-old female patient has been under treatment for histopathologically confirmed ulcerative colitis since the age of 17.
Ileal pouch-anal anastomosis and end ileostomy result in equivalent graft survival following liver transplantation for inflammatory bowel disease-primary sclerosing cholangitis.
Tech Coloproctol
August 2024
Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, 9500 Euclid Ave, A30, Cleveland, OH, 44195, USA.
Introduction: Patients with inflammatory bowel disease and primary sclerosing cholangitis may require both liver transplantation and colectomy. There are concerns about increased rates of hepatic artery thrombosis, biliary strictures, and hepatic graft loss in patients with ileal pouch-anal anastomosis compared to those with end ileostomy. We hypothesized that graft survival was not negatively affected by ileal pouch-anal anastomosis compared to end ileostomy.
View Article and Find Full Text PDFA Case of Coil-Assisted Retrograde Transvenous Obliteration to Treat Colonic Varices.
Cureus
July 2024
Gastroenterology and Hepatology, University of Missouri Kansas City School of Medicine, Kansas City, USA.
Colonic variceal bleeding is a rare cause of lower gastrointestinal (GI) bleeding, which carries a high mortality rate. Due to limited data, the optimal management of colonic variceal bleeding is not known. Coil-assisted retrograde transvenous obliteration (CARTO) has been shown to be very effective in managing non-esophageal variceal bleeding, but only a few cases demonstrate its effectiveness in treating colonic variceal bleeding.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!