TIPS治疗异位静脉曲张出血1例报告。

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2025-04-01 DOI:10.51821/88.1.13326

E Brusselle, J Van Ongeval, W Pauwels, A Geerts

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引用次数: 0

摘要

背景：异位静脉曲张可发生在除心食道交界处以外的腹部任何部位，仅占所有静脉曲张出血的5%。考虑到这种疾病的低患病率，管理是具有挑战性的和低证据基础。通过一个病例报告，我们回顾了使用TIPS（经颈静脉肝内门静脉分流术）治疗异位静脉曲张的文献。病例介绍：一名65岁的病人因大量便血和出血性休克被送到急诊科。CT血管造影报告肝硬化，门静脉血栓形成（PVT）和结肠静脉曲张无活动性出血。患者被转移到重症监护病房，结肠镜检查证实存在升结肠静脉曲张并伴有红鲸征象。他成功地接受了TIPS安置，五天后出院。结论：在本例中，TIPS放置被证明是治疗异位静脉曲张出血的有效方法。

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A case report on use of TIPS for ectopic variceal bleeding.

Background: Ectopic varices may develop anywhere in the abdomen except in the cardioesophageal junction and cause only 5% of all variceal bleeding. Considering the low prevalence of this disease, management is challenging and low-evidence based. By means of a case report, we reviewed literature on the treatment of ectopic varices using TIPS (Transjugular Intrahepatic Portosystemic Shunt).

Case presentation: A 65-year old patient presented to the emergency department with massive hematochezia and haemorrhagic shock. A CT angiography reported liver cirrhosis, a portal vein thrombosis (PVT) and colonic varices without active bleeding. The patient was transferred to the intensive care unit where colonoscopy confirmed the presence of ascending colonic varices with a red whale sign. He successfully underwent a TIPS placement and was discharged after five days from the hospital.

Conclusion: In this case, TIPS placement proved to be an effective treatment for ectopic variceal bleeding.

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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.