Successful Treatment of Duodenal Variceal Bleeding with Coil-Assisted Retrograde Transvenous Obliteration: A Case Report
10.3348/jksr.2020.81.1.231
- Author:
Se Jin PARK
1
;
Young Hwan KIM
;
Ung Rae KANG
;
Seung Woo JI
Author Information
1. Department of Radiology, Daegu Catholic University College of Medicine, Daegu, Korea. yhkim68@cu.ac.kr
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2020;81(1):231-236
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Duodenal varices can develop in patients with portal hypertension secondary to liver cirrhosis. Although upper gastrointestinal bleeding is often severe and fatal, the definite treatment or guideline has not been established. Although endoscopy is the primary therapeutic modality, the use of radiologic interventions, such as transjugular intrahepatic portosystemic shunt, balloon or vascular plug-assisted retrograde transvenous obliteration, and percutaneous transhepatic variceal obliteration, can be considered alternative treatment methods for duodenal varices. Herein, we report a case of duodenal varix in a patient with poor hepatic functional reserve and vascular anatomy, which are contraindications for an occlusion balloon or a vascular plug, successfully treated with coil-assisted retrograde transvenous obliteration.
