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CC BY 4.0 · Journal of Clinical Interventional Radiology ISVIR 2024; 08(03): 195-198
DOI: 10.1055/s-0044-1788986
Case Report

Portal Hypertensive Mayhem: A Case Report of Colonic Variceal Bleeding Treated by Antegrade Embolization

Tushar Unhale 
1   Center for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, India
,
Ganesh Devkota
2   Interventional Radiology, Max Superspeciality Hospital, Saket, New Delhi, India
,
Harshil Trivedi
1   Center for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, India
,
Pallavi Garg 
1   Center for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, India
,
Shahnawaz Bashir 
2   Interventional Radiology, Max Superspeciality Hospital, Saket, New Delhi, India
,
Muzaffer Rashid Shawl
1   Center for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, India
,
Kaushal Madan 
1   Center for Gastroenterology, Hepatology and Endoscopy, Max Superspeciality Hospital, Saket, New Delhi, India
› Institutsangaben Funding None.
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Abstract

In patients with cirrhosis of the liver, acute variceal bleeding can be fatal. Bleeding colonic varices is a very rare cause of lower gastrointestinal bleeding that can result in massive hemorrhage in patients with cirrhosis. Here we present the case of a 50-year-old gentleman, having cirrhosis of the liver with chronic portal vein occlusion, who presented with massive bleeding per rectum. Contrast computed tomography (CT) revealed a large shunt arising from the superior mesenteric vein forming submucosal colonic varices and joining the right renal vein. He underwent successful obliteration of the varix by antegrade endovascular embolization via the trans-splenic access. Endovascular embolization could be an effective and life-saving treatment option for colonic variceal bleeding.

Keywords

ectopic colonic varices - antegrade embolisation - portal hypertension


Publikationsverlauf

Artikel online veröffentlicht:
23. August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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