Matsumoto T, Yamagami T, Nakamura N, Kato T, Hirota T, Yoshimatsu R, Nishimura T
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku 602-8566, Kyoto, Japan.
Br J Radiol. 2008 Oct;81(970):e246-8. doi: 10.1259/bjr/19387136.
We encountered a patient with a gastric varix that drained through the left inferior phrenic vein, which directly entered the inferior vena cava at the point just inferior to the diaphragm. In this patient, gastrorenal shunt was not seen. Balloon-occluded retrograde transvenous obliteration of the gastric varix was performed, in which 50% glucose and 5% ethanolamine oleate-iopamidol were injected as sclerosing agents while the balloon was inflated in the left inferior phrenic vein. 1 week after the procedure, the disappearance of enhancement in the gastric varix was confirmed on contrast-enhanced multidetector row CT. Furthermore, a significant reduction in the size of the varix was confirmed on endoscopic examination 4 months later.
我们遇到一名患有胃静脉曲张的患者，该静脉曲张通过左膈下静脉引流，左膈下静脉在紧邻膈肌下方的位置直接汇入下腔静脉。在该患者中，未发现胃肾分流。对胃静脉曲张进行了球囊闭塞逆行静脉内栓塞术，在左膈下静脉内球囊充气时，注入50%葡萄糖和5%油酸乙醇胺-碘帕醇作为硬化剂。术后1周，在多排探测器增强CT上证实胃静脉曲张强化消失。此外，4个月后在内镜检查中证实静脉曲张大小显著缩小。
