Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade Embolization
In patients with cirrhosis of the liver, acute variceal bleeding can be fatal. Bleeding colonic varices is a very rare cause of lower gastrointestinal bleeding that can result in massive hemorrhage in patients with cirrhosis. Here we present the case of a 50-year-old gentleman, having cirrhosis of t...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2024-12-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1788986 |
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| author | Tushar Unhale Ganesh Devkota Harshil Trivedi Pallavi Garg Shahnawaz Bashir Muzaffer Rashid Shawl Kaushal Madan |
| author_facet | Tushar Unhale Ganesh Devkota Harshil Trivedi Pallavi Garg Shahnawaz Bashir Muzaffer Rashid Shawl Kaushal Madan |
| author_sort | Tushar Unhale |
| collection | DOAJ |
| description | In patients with cirrhosis of the liver, acute variceal bleeding can be fatal. Bleeding colonic varices is a very rare cause of lower gastrointestinal bleeding that can result in massive hemorrhage in patients with cirrhosis. Here we present the case of a 50-year-old gentleman, having cirrhosis of the liver with chronic portal vein occlusion, who presented with massive bleeding per rectum. Contrast computed tomography (CT) revealed a large shunt arising from the superior mesenteric vein forming submucosal colonic varices and joining the right renal vein. He underwent successful obliteration of the varix by antegrade endovascular embolization via the trans-splenic access. Endovascular embolization could be an effective and life-saving treatment option for colonic variceal bleeding. |
| format | Article |
| id | doaj-art-433c892c1f8048878c11e3cc38b66e94 |
| institution | Kabale University |
| issn | 2456-4869 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-433c892c1f8048878c11e3cc38b66e942024-12-13T23:38:59ZengThieme Medical Publishers, Inc.Journal of Clinical Interventional Radiology ISVIR2456-48692024-12-01080319519810.1055/s-0044-1788986Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade EmbolizationTushar Unhale0https://orcid.org/0009-0000-9045-4687Ganesh Devkota1Harshil Trivedi2Pallavi Garg3https://orcid.org/0009-0002-5048-1570Shahnawaz Bashir4https://orcid.org/0000-0001-8198-3843Muzaffer Rashid Shawl5Kaushal Madan6https://orcid.org/0000-0003-2902-9213Center for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, IndiaInterventional Radiology, Max Superspeciality Hospital, Saket, New Delhi, IndiaCenter for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, IndiaCenter for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, IndiaInterventional Radiology, Max Superspeciality Hospital, Saket, New Delhi, IndiaCenter for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, IndiaCenter for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, IndiaIn patients with cirrhosis of the liver, acute variceal bleeding can be fatal. Bleeding colonic varices is a very rare cause of lower gastrointestinal bleeding that can result in massive hemorrhage in patients with cirrhosis. Here we present the case of a 50-year-old gentleman, having cirrhosis of the liver with chronic portal vein occlusion, who presented with massive bleeding per rectum. Contrast computed tomography (CT) revealed a large shunt arising from the superior mesenteric vein forming submucosal colonic varices and joining the right renal vein. He underwent successful obliteration of the varix by antegrade endovascular embolization via the trans-splenic access. Endovascular embolization could be an effective and life-saving treatment option for colonic variceal bleeding.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1788986ectopic colonic varicesantegrade embolisationportal hypertension |
| spellingShingle | Tushar Unhale Ganesh Devkota Harshil Trivedi Pallavi Garg Shahnawaz Bashir Muzaffer Rashid Shawl Kaushal Madan Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade Embolization Journal of Clinical Interventional Radiology ISVIR ectopic colonic varices antegrade embolisation portal hypertension |
| title | Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade Embolization |
| title_full | Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade Embolization |
| title_fullStr | Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade Embolization |
| title_full_unstemmed | Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade Embolization |
| title_short | Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade Embolization |
| title_sort | portal hypertensive mayhem a case report of colonic variceal bleeding treated by antegrade embolization |
| topic | ectopic colonic varices antegrade embolisation portal hypertension |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1788986 |
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