Masuda Koichi, Takenaga Shinsuke, Ashida Hirokazu, Ojiri Hiroya
Department of Radiology, The Jikei University Katsushika Medical Center, 6-41-2, Aoto, Katsushika-ku, Tokyo, 125-8506, Japan.
Department of Radiology, The Jikei Medical University Hospital, Minato-ku, Tokyo, Japan.
Radiol Case Rep. 2018 Feb 6;13(2):400-403. doi: 10.1016/j.radcr.2018.01.023. eCollection 2018 Apr.
Rupture of small intestinal varices associated with portal hypertension can be a serious condition that is difficult to diagnose early and to manage. Moreover, optimal guidelines for the treatment of small intestinal varices have not yet been established. We herein report a case of a 73-year-old man with small intestinal varices. The man presented with bleeding from a stoma in the small intestine, which subsequently led to hemorrhagic shock. We successfully treated the patient with balloon-occluded retrograde transvenous obliteration via the right inferior epigastric vein using N-butyl-2-cyanoacrylate.
与门静脉高压相关的小肠静脉曲张破裂可能是一种严重的病症，早期难以诊断和处理。此外，小肠静脉曲张的最佳治疗指南尚未确立。我们在此报告一例73岁男性小肠静脉曲张病例。该男子表现为小肠造口出血，随后导致失血性休克。我们通过使用N-丁基-2-氰基丙烯酸酯经右下腹壁静脉成功地对该患者进行了球囊闭塞逆行静脉栓塞术治疗。
