Percutaneous Transsplenic Embolization of Gastric Varices in Left-sided Portal Hypertension.

Interventional radiology (Higashimatsuyama-shi (Japan) Pub Date : 2022-05-12 eCollection Date: 2022-07-01 DOI:10.22575/interventionalradiology.2021-0019

Yuki Tanaka, Shuji Kariya, Miyuki Nakatani, Yutaka Ueno, Yasuyuki Ono, Takuji Maruyama, Atsushi Komemushi, Noboru Tanigawa

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引用次数: 2

Abstract

An 81-year-old man with previously diagnosed cancer of the pancreatic body presented with melena and anemia. Upper gastrointestinal endoscopy showed gastric varices with bleeding in the entire stomach. Contrast-enhanced computed tomography identified a splenic vein occlusion resulting from invasion by the pancreatic body cancer and dilated collateral pathways from the splenic hilum to the gastric fundus. The patient was diagnosed with gastric varices associated with left-sided portal hypertension caused by obstruction of the splenic vein and underwent percutaneous transsplenic embolization with n-butyl-2-cyanoacrylate mixed with lipiodol. Splenic subcapsular hematoma occurred and was treated conservatively. The patient died of advanced cancer 5 months after the procedure, without experiencing rebleeding. Percutaneous transsplenic embolization was effective in treating gastric variceal bleeding caused by left-sided portal hypertension.

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经皮脾栓塞术治疗左侧门静脉高压的胃静脉曲张。

81岁男性，先前诊断为胰腺体癌，表现为黑黑和贫血。上消化道内窥镜显示胃静脉曲张伴全胃出血。对比增强计算机断层扫描发现胰体癌侵袭引起的脾静脉阻塞和脾门至胃底的侧支通路扩张。患者被诊断为胃静脉曲张合并脾静脉阻塞引起的左侧门静脉高压，并接受了正丁基-2-氰基丙烯酸酯混合脂醇经皮脾动脉栓塞术。发生脾包膜下血肿，保守治疗。该患者在手术后5个月死于晚期癌症，没有再出血。经皮脾栓塞术治疗左侧门静脉高压症所致胃静脉曲张出血疗效显著。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Interventional radiology (Higashimatsuyama-shi (Japan)

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