[Surgical Removal of Migrated Coil after Embolization of Jejunal Variceal Bleeding: A Case Report]

Korean J Gastroenterol. 2017 Jan 25;69(1):74-78. doi: 10.4166/kjg.2017.69.1.74.
[Article in Korean]

Abstract

Jejunal variceal bleeding is less common compared with esophagogastric varices in patients with portal hypertension. However, jejunal variceal bleeding can be fatal without treatment. Treatments include surgery, transjugular intrahepatic porto-systemic shunt (TIPS), endoscopic sclerotherapy, percutaneous coil embolization, and balloon-occluded retrograde transvenous obliteration (BRTO). Percutaneous coil embolization can be considered as an alternative treatment option for those where endoscopic sclerotherapy, surgery, TIPS or BRTO are not possible. Complications of percutaneous coil embolization have been reported, including coil migration. Herein, we report a case of migration of the coil into the jejunal lumen after percutaneous coil embolization for jejunal variceal bleeding. The migrated coil was successfully removed using surgery.

Keywords: Coil migration; Jejunal varix, Embolization; Migrated coil; Small bowel varix.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Balloon Occlusion
  • Embolization, Therapeutic*
  • Enbucrilate / chemistry
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / surgery
  • Humans
  • Hypertension, Portal / pathology
  • Jejunal Diseases / diagnosis
  • Jejunal Diseases / therapy*
  • Liver Neoplasms / therapy
  • Male
  • Middle Aged
  • Sclerotherapy
  • Surgical Equipment / adverse effects*
  • Tomography, X-Ray Computed

Substances

  • Enbucrilate