Successful treatment of rectal varices with antegrade transvenous sclerotherapy via the splenorenal shunt from the transjugular approach

• Published in: Radiology Case Reports
• Main Authors: Maciej Pas, MD, PhD, Atsushi Jogo, MD, PhD, Akira Yamamoto, MD, PhD, Norifumi Nishida, MD, PhD, Eri Jogo, MD, Ken Kageyama, MD, PhD, Etsuji Sohgawa, MD, Yukio Miki, MD, PhD
• Format: Article
• Language: English
• Published: Elsevier 2022-12-01
• Subjects: Liver cirrhosis; Rectal varices; Splenorenal shunt; Portal thrombosis; Antegrade transvenous sclerotherapy; Double balloon catheters technique
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043322007579
• ISSN: 1930-0433

A 74-year-old patient presented with hematochezia and a history of liver cirrhosis with repeated bleeding from esophageal and rectal varices. Endoscopic examination revealed multiple rectal varices with positive red color signs. Ascites, severe portosystemic thrombosis and a splenorenal shunt were diagnosed on a contrast-enhanced dynamic computed tomography examination. From a transjugular approach, we circumvented thrombosed regions by maneuvering double balloon catheters through the shunt and dilated left colic marginal vein. We managed to successfully obliterate the varices.