Jejunal Variceal Bleeding Successfully Treated with Percutaneous Coil Embolization
- Authors
- Koo, So My; Jeong, Soung Won; Jang, Jae Young; Lee, Tae Hee; Jeon, Seong Ran; Kim, Hyun Gun; Kim, Jin Oh; Kim, Yong Jae
- Issue Date
- Mar-2012
- Publisher
- 대한의학회
- Keywords
- Hematochezia; Capsule Endoscopy; Abdominal Computed Tomography; Jejunal Varices; Embolization
- Citation
- Journal of Korean Medical Science, v.27, no.3, pp 321 - 324
- Pages
- 4
- Journal Title
- Journal of Korean Medical Science
- Volume
- 27
- Number
- 3
- Start Page
- 321
- End Page
- 324
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/15340
- DOI
- 10.3346/jkms.2012.27.3.321
- ISSN
- 1011-8934
1598-6357
- Abstract
- A 52-yr-old male with alcoholic liver cirrhosis was hospitalized for hematochezia. He had undergone small-bowel resection due to trauma 15 yr previously. Esophagogastroduodenoscopy showed grade 1 esophageal varices without bleeding. No bleeding lesion was seen on colonoscopy, but capsule endoscopy showed suspicious bleeding from angiodysplasia in the small bowel. After 2 weeks of conservative treatment, the hematochezia stopped. However, 1 week later, the patient was re-admitted with hematochezia and a hemoglobin level of 5.5 g/dL. Capsule endoscopy was performed again and showed active bleeding in the mid-jejunum. Abdominal computed tomography revealed a varix in the jejunal branch of the superior mesenteric vein. A direct portogram performed via the transhepatic route showed portosystemic collaterals at the distal jejunum. The patient underwent coil embolization of the superior mesenteric vein just above the portosystemic collaterals and was subsequently discharged without re-bleeding. At 8 months after discharge, his condition has remained stable, without further bleeding episodes.
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Collections - College of Medicine > Department of Radiology > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
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