Transjugular intrahepatic portosystemic stent shunt placement and embolization for hemorrhage associated with rupture of anorectal varices. Issue 4 (April 2018)

• Record Type: Journal Article
• Authors: Wu, Xiuyan; Xuan, Wei; Song, Lei
• Is Part Of: Journal of international medical research. Volume 46:Issue 4(2018)
• Page Start: 1666
• Page End: 1671
• Publication Date: 2018-04
• Subjects: Hemorrhoid venous bleeding -- ectopic varices -- embolization -- transjugular intravenous portosystemic shunt -- portal hypertension -- cirrhosis; Medicine -- Periodicals; Pharmacology -- Periodicals; 610.5
• DOI: 10.1177/0300060517730720
• Languages: English
• ISSNs: 0300-0605

Abstract

Portal hypertension can lead to ectopic varices, which occur most frequently in the rectum. Rectal variceal bleeding in patients with portal hypertension is rare but can be life-threatening if not diagnosed and treated in a timely manner. However, no specific treatment guidelines have been established for rectal variceal bleeding. We herein report a case involving a woman with portal hypertension due to autoimmune liver disease who was successfully treated with a transjugular intrahepatic portosystemic stent shunt and variceal embolization. We recommend treatment of refractory ectopic variceal bleeding with a transjugular intrahepatic portosystemic stent shunt in combination with embolization.