Percutaneous transsplenic embolization of jejunal varices in a patient with liver cirrhosis: a case report.

Department of Radiology, Hanyang University Hospital, 17 Haengdang-dong, Sungdong-gu, Seoul, 133-792, Korea.
Abdominal Imaging (Impact Factor: 1.91). 04/2012; DOI: 10.1007/s00261-012-9894-2
Source: PubMed

ABSTRACT Bleeding jejunal varices are rare and could be life threatening. They are usually found in the presence of portal hypertension and prior history of gastrointestinal surgery. They can be effectively managed by radiological interventions such as transjugular intrahepatic portosystemic shunt or transhepatic embolization of varices. However, in patients with portal vein obstruction, an alternative access is necessary. We report a case of bleeding jejunal varices associated with postoperative adhesion in a patient with portal vein thrombosis which was successfully managed by percutaneous transsplenic embolization.