Jejunal variceal bleeding successfully treated with percutaneous coil embolization. 2012

So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
Institute for Digestive Research and Digestive Disease Center, Department of Gastroenterology, Soonchunhyang University Hospital, Seoul, Korea.

A 52-yr-old male with alcoholic liver cirrhosis was hospitalized for hematochezia. He had undergone small-bowel resection due to trauma 15 yr previously. Esophagogastroduodenoscopy showed grade 1 esophageal varices without bleeding. No bleeding lesion was seen on colonoscopy, but capsule endoscopy showed suspicious bleeding from angiodysplasia in the small bowel. After 2 weeks of conservative treatment, the hematochezia stopped. However, 1 week later, the patient was re-admitted with hematochezia and a hemoglobin level of 5.5 g/dL. Capsule endoscopy was performed again and showed active bleeding in the mid-jejunum. Abdominal computed tomography revealed a varix in the jejunal branch of the superior mesenteric vein. A direct portogram performed via the transhepatic route showed portosystemic collaterals at the distal jejunum. The patient underwent coil embolization of the superior mesenteric vein just above the portosystemic collaterals and was subsequently discharged without re-bleeding. At 8 months after discharge, his condition has remained stable, without further bleeding episodes.

UI MeSH Term Description Entries
D007583 Jejunum The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum. Jejunums
D008104 Liver Cirrhosis, Alcoholic FIBROSIS of the hepatic parenchyma due to chronic excess ALCOHOL DRINKING. Alcoholic Cirrhosis,Hepatic Cirrhosis, Alcoholic,Alcoholic Hepatic Cirrhosis,Alcoholic Liver Cirrhosis
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004621 Embolization, Therapeutic A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage. Embolotherapy,Therapeutic Embolization,Embolizations, Therapeutic,Embolotherapies,Therapeutic Embolizations
D006471 Gastrointestinal Hemorrhage Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM. Hematochezia,Hemorrhage, Gastrointestinal,Gastrointestinal Hemorrhages,Hematochezias
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014648 Varicose Veins Enlarged and tortuous VEINS. Varices,Varix,Varicose Vein,Vein, Varicose,Veins, Varicose

Related Publications

So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
July 2014, ACG case reports journal,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
November 2015, Medicine,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
January 2016, World journal of clinical cases,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
January 2021, Endoscopic ultrasound,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
September 2022, Clinical case reports,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
January 2013, World journal of gastroenterology,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
June 2013, Pediatrics international : official journal of the Japan Pediatric Society,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
January 2017, The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
March 2008, Gastrointestinal endoscopy,
So My Koo, and Soung Won Jeong, and Jae Young Jang, and Tae Hee Lee, and Seong Ran Jeon, and Hyun Gun Kim, and Jin Oh Kim, and Yong Jae Kim
January 2016, Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology,
Copied contents to your clipboard!