Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration

A 55-year-old man with hepatitis B virus antigen-positive liver cirrhosis was admitted to our hospital with anal bleeding. Colonoscopy revealed blood retention in the entire colon, but no bleeding lesion was found. Computed tomography images showed that vessels in the ileum were connected to the rig...

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Main Authors:	Sato, Takahiro, Yamazaki, Katsu, Toyota, Jouji, Karino, Yoshiyasu, Ohmura, Takumi, Akaike, Jun
Format:	Online
Language:	English
Published:	Elmer Press 2009
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5139830/

id	pubmed-5139830
recordtype	oai_dc
spelling	pubmed-51398302016-12-12 Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration Sato, Takahiro Yamazaki, Katsu Toyota, Jouji Karino, Yoshiyasu Ohmura, Takumi Akaike, Jun Case Report A 55-year-old man with hepatitis B virus antigen-positive liver cirrhosis was admitted to our hospital with anal bleeding. Colonoscopy revealed blood retention in the entire colon, but no bleeding lesion was found. Computed tomography images showed that vessels in the ileum were connected to the right testicular vein, and we suspected ileal varices to be the most probable cause of bleeding. We immediately performed double balloon enteroscopy, but failed to find any site of bleeding owing to the difficulty of fiberscope insertion with sever adhesion. Using a balloon catheter during retrograde transvenous venography, we found ileal varices communicating with the right testicular vein (efferent vein) with the superior mesenteric vein branch as the afferent vein of these varices. We performed balloon occluded retrograde transvenous obliteration by way of the efferent vein of the varices and have detected no further bleeding in this patient one year after treatment. Elmer Press 2009-04 2009-03-20 /pmc/articles/PMC5139830/ /pubmed/27956966 http://dx.doi.org/10.4021/gr2009.04.1286 Text en Copyright 2009, Sato et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Sato, Takahiro Yamazaki, Katsu Toyota, Jouji Karino, Yoshiyasu Ohmura, Takumi Akaike, Jun
spellingShingle	Sato, Takahiro Yamazaki, Katsu Toyota, Jouji Karino, Yoshiyasu Ohmura, Takumi Akaike, Jun Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration
author_facet	Sato, Takahiro Yamazaki, Katsu Toyota, Jouji Karino, Yoshiyasu Ohmura, Takumi Akaike, Jun
author_sort	Sato, Takahiro
title	Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration
title_short	Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration
title_full	Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration
title_fullStr	Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration
title_full_unstemmed	Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration
title_sort	ileal varices treated with balloon-occluded retrograde transvenous obliteration
description	A 55-year-old man with hepatitis B virus antigen-positive liver cirrhosis was admitted to our hospital with anal bleeding. Colonoscopy revealed blood retention in the entire colon, but no bleeding lesion was found. Computed tomography images showed that vessels in the ileum were connected to the right testicular vein, and we suspected ileal varices to be the most probable cause of bleeding. We immediately performed double balloon enteroscopy, but failed to find any site of bleeding owing to the difficulty of fiberscope insertion with sever adhesion. Using a balloon catheter during retrograde transvenous venography, we found ileal varices communicating with the right testicular vein (efferent vein) with the superior mesenteric vein branch as the afferent vein of these varices. We performed balloon occluded retrograde transvenous obliteration by way of the efferent vein of the varices and have detected no further bleeding in this patient one year after treatment.
publisher	Elmer Press
publishDate	2009
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5139830/
_version_	1613759854046871552

Ileal Varices Treated with Balloon-Occluded Retrograde Transvenous Obliteration

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