Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka Metropolitan University, Japan.
Advanced Imaging and Minimally Invasive Therapy Center, Tsukazaki Hospital, Japan.
Intern Med. 2024 Mar 15;63(6):803-807. doi: 10.2169/internalmedicine.2274-23. Epub 2023 Jul 26.
A 55-year-old patient was admitted for variceal treatment, a complication of chronic portal hypertension and liver cirrhosis. Imaging studies revealed prominent duodenal varices, the pancreaticoduodenal vein as its afferent pathway, a drainer vessel into the inferior vena cava, and a paraumbilical vein. We successfully performed complete obliteration of the varix, including its afferent and efferent vessels, via the paraumbilical vein approach.
一位 55 岁的患者因静脉曲张接受治疗,这是慢性门脉高压和肝硬化的并发症。影像学研究显示十二指肠静脉曲张明显,胰十二指肠静脉为其流入途径,引流血管进入下腔静脉,以及脐旁静脉。我们通过脐旁静脉途径成功地完成了包括其流入和流出血管在内的静脉曲张完全闭塞。