Abstract
A 55-year-old man was admitted to our hospital because of massive gastrointestinal bleeding. He had a history of type B liver cirrhosis, multiple abdominal surgeries, and endoscopic treatment of esophageal varices. Colonoscopy was performed, but the source of bleeding could not be identified. Computed tomography during arterial portography (CTAP) demonstrated small intestinal varices and collateral veins from the superior mesenteric vein to the epigastric vein. We performed phlebosclerozation by directly puncturing the epigastric vein under the skin. Remission of bleeding was then attained. No recurrence of gastrointestinal hemorrhage has occurred after the phlebosclerozation. We believe that CTAP is useful when diagnosing small intestinal varices and that percutaneous phlebosclerozation should be considered as a treatment option for small intestinal varices.
| Original language | English |
|---|---|
| Pages (from-to) | 732-738 |
| Number of pages | 7 |
| Journal | Journal of Japanese Society of Gastroenterology |
| Volume | 115 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Jan 1 2018 |
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ASJC Scopus subject areas
- Gastroenterology
Cite this
Rupture of small intestinal varices diagnosed by CTAP and gastrointestinal bleeding scintigraphy and treated by percutaneous phlebosclerozation angioembolization. / Kamio, Tomohiro; Kawano, Seiji; Ohnishi, Hideki; Obayashi, Yuka; Oyama, Atsushi; Nouso, Kazuhiro; Harada, Keita; Okada, Hiroyuki; Fujiwara, Hiroyasu; Kanazawa, Yu.
In: Journal of Japanese Society of Gastroenterology, Vol. 115, No. 8, 01.01.2018, p. 732-738.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Rupture of small intestinal varices diagnosed by CTAP and gastrointestinal bleeding scintigraphy and treated by percutaneous phlebosclerozation angioembolization
AU - Kamio, Tomohiro
AU - Kawano, Seiji
AU - Ohnishi, Hideki
AU - Obayashi, Yuka
AU - Oyama, Atsushi
AU - Nouso, Kazuhiro
AU - Harada, Keita
AU - Okada, Hiroyuki
AU - Fujiwara, Hiroyasu
AU - Kanazawa, Yu
PY - 2018/1/1
Y1 - 2018/1/1
N2 - A 55-year-old man was admitted to our hospital because of massive gastrointestinal bleeding. He had a history of type B liver cirrhosis, multiple abdominal surgeries, and endoscopic treatment of esophageal varices. Colonoscopy was performed, but the source of bleeding could not be identified. Computed tomography during arterial portography (CTAP) demonstrated small intestinal varices and collateral veins from the superior mesenteric vein to the epigastric vein. We performed phlebosclerozation by directly puncturing the epigastric vein under the skin. Remission of bleeding was then attained. No recurrence of gastrointestinal hemorrhage has occurred after the phlebosclerozation. We believe that CTAP is useful when diagnosing small intestinal varices and that percutaneous phlebosclerozation should be considered as a treatment option for small intestinal varices.
AB - A 55-year-old man was admitted to our hospital because of massive gastrointestinal bleeding. He had a history of type B liver cirrhosis, multiple abdominal surgeries, and endoscopic treatment of esophageal varices. Colonoscopy was performed, but the source of bleeding could not be identified. Computed tomography during arterial portography (CTAP) demonstrated small intestinal varices and collateral veins from the superior mesenteric vein to the epigastric vein. We performed phlebosclerozation by directly puncturing the epigastric vein under the skin. Remission of bleeding was then attained. No recurrence of gastrointestinal hemorrhage has occurred after the phlebosclerozation. We believe that CTAP is useful when diagnosing small intestinal varices and that percutaneous phlebosclerozation should be considered as a treatment option for small intestinal varices.
UR - http://www.scopus.com/inward/record.url?scp=85052494406&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85052494406&partnerID=8YFLogxK
U2 - 10.11405/nisshoshi.115.732
DO - 10.11405/nisshoshi.115.732
M3 - Article
VL - 115
SP - 732
EP - 738
JO - Japanese Journal of Gastroenterology
JF - Japanese Journal of Gastroenterology
SN - 0446-6586
IS - 8
ER -