Ascending Colon Variceal Bleeding in Cirrhotic Patient with Emergent Endoscopic Variceal Obturation with N-butyl-2-cyanoacrylate.
- Author:
Chang Lae KIM
1
;
Taehong KIM
;
Won Hyuk LEE
;
Joo Wan SEO
;
Seung Ha PARK
;
Joon Hyuk CHOI
;
Nae Yun HEO
Author Information
- Publication Type:Case Report
- Keywords: Colon, ascending; Colonoscopy; Cyanoacrylates; Liver cirrhosis; Varix
- MeSH: Adhesives; Colon, Ascending*; Colonoscopy; Cyanoacrylates; Embolization, Therapeutic; Enbucrilate*; Esophageal and Gastric Varices*; Hemodynamics; Hemorrhage; Hemostasis; Humans; Hypertension, Portal; Korea; Liver Cirrhosis; Liver Cirrhosis, Alcoholic; Varicose Veins
- From:The Korean Journal of Gastroenterology 2018;72(1):37-41
- CountryRepublic of Korea
- Language:Korean
- Abstract: Ectopic varices are rare among patients with portal hypertension, especially in the ascending colon. It is difficult to evaluate massive lower gastrointestinal bleeding in patients with liver cirrhosis by colonoscopy due to hemodynamic instability and poor bowel preparation. In Korea, there has only been one case report about ascending colon variceal bleeding, in which hemostasis was performed by venous coil embolization. We report another rare case of ascending colon variceal bleeding in a patient with alcoholic cirrhosis, who was successfully treated via two sessions of N-butyl-2-cyanoacrylate injection through colonoscopy. This case suggests that the careful endoscopic approach and hemostasis with glue injection might be an option for treating massive bleeding in the lower gastrointestinal varix.
