World journal of clinical cases · 2016
Peristomal variceal bleeding treated by coil embolization using a percutaneous transhepatic approach.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Maciel Macello José Sampaio, Pereira Osvaldo Ignácio, Motta Leal Filho Joaquim Maurício, Ziemiecki Junior Enio, Cosme Susyanne Lavor, Souza Moisés Amâncio, Carnevale Francisco Cesar
Аннотация
Peristomal variceal bleeding due to portal hypertension is an entity that has rarely been reported with 3%-4% risk of death. A 68-year-old woman who had undergone a palliative colostomy (colorectal carcinoma) presented with a massive hemorrhage from the colostomy conduit. Considering her oncological status with medial and right hepatic veins thrombosis due to liver metastasis invasion, an emergency transhepatic coil embolization was successfully performed. Standard treatment modality for these cases has not been established. Percutaneous transhepatic coil embolization of varices is a safe and effective choice in patients who present with life threatening bleeding and exhibit contraindications to transjugular intrahepatic portosystemic shunt.