医学
经颈静脉肝内门体分流术
门脉高压
静脉曲张
放射科
肝硬化
门体分流术
栓塞
门静脉血栓形成
内科学
外科
作者
Andrea Michielan,Filippo Vieceli,Cecilia Pravadelli,Luisa Moser,F. Agugiaro,Giacomo Luppi,Francesco Lorenzo Gatti,Lorenzo Costa,Umberto Rozzanigo
标识
DOI:10.1007/s12328-023-01830-w
摘要
Abstract A 61-year-old man with alcoholic cirrhosis and a history of severe cholecystitis leading to secondary thrombosis of the recanalized paraumbilical vein was admitted to our hospital for recurrent gastrointestinal bleeding and severe anemia. Capsule endoscopy and CT angiography detected profuse bleeding in the proximal ileum from ectopic ileal varices. Hepatic venous-portal gradient (HVPG) measurement was consistent with severe portal hypertension. Persistent bleeding despite transjugular intrahepatic portosystemic shunt (TIPS) placement required a combined approach with antegrade through-the-TIPS coil embolization of the ileal varices.
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