Korean J Gastroenterol.  2015 Nov;66(5):286-290. 10.4166/kjg.2015.66.5.286.

Successful Treatment of Bleeding Duodenal Varix by Percutaneous Transsplenic Embolization

Affiliations
  • 1Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea. miunorijw@hallym.or.kr
  • 2Department of Radiology, Hallym University Sacred Heart Hospital, Anyang, Korea.

Abstract

Variceal bleeding occurs primarily in the esophagus or stomach in patients with liver cirrhosis, but can also occur rarely in the duodenum. Duodenal variceal bleeding has a high mortality and poor prognosis due to heavy blood flow originating from the portal vein (PV) and the technical difficulty of hemostatic procedures. Treatments including endoscopic sclerotherapy, endoscopic ligations, endoscopic clipping and transjugular intrahepatic portosystemic shunt have been tried, with only moderate and variable success. A percutaneous transsplenic approach offers another way of accessing the PV. Here we report a case of successfully treated duodenal variceal bleeding by percutaneous transsplenic embolization.

Keyword

Duodenum; Varicose vein; Embolization
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