Percutaneous transhepatic obliteration for rupture of varices in the small intestine: a case report

Clin J Gastroenterol. 2022 Oct;15(5):890-894. doi: 10.1007/s12328-022-01660-2. Epub 2022 Jul 1.

Abstract

Rupture of ectopic varices is a rare but serious complication of portal hypertension. A 65-year-old woman with liver cirrhosis caused by primary biliary cholangitis visited the emergency department with several episodes of melena. Computed tomography revealed varices in the small intestine. We successfully performed percutaneous transhepatic obliteration using coil embolization. The patient had no episodes of re-bleeding after treatment. Percutaneous transhepatic obliteration may be a useful option for the treatment of varices in the small intestine.

Keywords: Liver cirrhosis; Percutaneous transhepatic obliteration; Small intestine varices.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Embolization, Therapeutic* / methods
  • Esophageal and Gastric Varices* / complications
  • Female
  • Humans
  • Hypertension, Portal*
  • Intestine, Small / diagnostic imaging
  • Liver Cirrhosis / complications
  • Varicose Veins* / complications
  • Varicose Veins* / diagnostic imaging