Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon 301-723, South Korea.
World J Gastroenterol. 2013 Jan 14;19(2):311-5. doi: 10.3748/wjg.v19.i2.311.
A 38-year-old female with a history of alcoholic liver cirrhosis visited our hospital with a massive hematochezia. An esophagogastroduodenoscopy did not demonstrate any bleeding source, and a colonoscopy showed a massive hemorrhage in the ascending colon but without an obvious focus. The source of the bleeding could not be found with a mesenteric artery angiography. We performed an enhanced abdominal computed tomography, which revealed a distal ascending colonic varix, and assumed that the varix was the source of the bleeding. We performed a venous coil embolization and histoacryl injection to obliterate the colon varix. The intervention appeared to be successful because the vital signs and hemoglobin laboratory data remained stable and because the hematochezia was no longer observed. We report here on a rare case of colonic variceal bleeding that was treated with venous coil embolization.
一位 38 岁的女性，有酒精性肝硬化病史，因大量血便到我院就诊。食管胃十二指肠镜检查未发现出血源，结肠镜检查显示升结肠有大量出血，但无明显焦点。肠系膜动脉血管造影也未找到出血部位。我们进行了增强腹部计算机断层扫描，发现远端升结肠静脉曲张，我们认为静脉曲张是出血的原因。我们进行了静脉线圈栓塞和组织胶注射以闭塞结肠静脉曲张。介入治疗似乎是成功的，因为生命体征和血红蛋白实验室数据保持稳定，并且不再观察到血便。我们在此报告一例罕见的结肠静脉曲张出血，采用静脉线圈栓塞治疗。
