Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal Hypertension
A 51-year-old male patient with alcoholic cirrhosis visited our hospital for a scheduled gastrostomy replacement. During the gastrostomy replacement, he suddenly experienced a massive hemorrhage from the fistula site. Based on enhanced computed tomography findings, we concluded that collateral blood...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-01-01
|
| Series: | Gastro Hep Advances |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772572323000523 |
| _version_ | 1797777430897754112 |
|---|---|
| author | Taiki Okumura Takefumi Kimura Tomoo Yamazaki Takayuki Miyazawa Yoshinori Tsukahara Masahiro Kurozumi Yugo Iwaya Tadanobu Nagaya Takeji Umemura |
| author_facet | Taiki Okumura Takefumi Kimura Tomoo Yamazaki Takayuki Miyazawa Yoshinori Tsukahara Masahiro Kurozumi Yugo Iwaya Tadanobu Nagaya Takeji Umemura |
| author_sort | Taiki Okumura |
| collection | DOAJ |
| description | A 51-year-old male patient with alcoholic cirrhosis visited our hospital for a scheduled gastrostomy replacement. During the gastrostomy replacement, he suddenly experienced a massive hemorrhage from the fistula site. Based on enhanced computed tomography findings, we concluded that collateral blood vessels from the left gastroepiploic vein had flowed into the varices near the gastrostomy as the main origin of the bleeding. The patient received treatment with percutaneous transhepatic occlusion for the varices, which halted blood flow to the varices. This case suggests the possibility of such a complication in patients with worsening portal hypertension and the effectiveness of percutaneous transhepatic occlusion treatment. |
| first_indexed | 2024-03-12T23:04:49Z |
| format | Article |
| id | doaj.art-8db43d3adc2346d99cb30cd9bb11e957 |
| institution | Directory Open Access Journal |
| issn | 2772-5723 |
| language | English |
| last_indexed | 2024-03-12T23:04:49Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gastro Hep Advances |
| spelling | doaj.art-8db43d3adc2346d99cb30cd9bb11e9572023-07-19T04:24:10ZengElsevierGastro Hep Advances2772-57232023-01-0125652655Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal HypertensionTaiki Okumura0Takefumi Kimura1Tomoo Yamazaki2Takayuki Miyazawa3Yoshinori Tsukahara4Masahiro Kurozumi5Yugo Iwaya6Tadanobu Nagaya7Takeji Umemura8Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, JapanDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan; Consultation Center for Liver Diseases, Shinshu University Hospital, Matsumoto, Japan; Correspondence: Address correspondence to: Takefumi Kimura, PhD, MD, Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.Division of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan; Department of Medicine, University of California San Diego, La Jolla, CaliforniaDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Radiology, Shinshu University School of Medicine, Matsumoto, JapanDepartment of Radiology, Shinshu University School of Medicine, Matsumoto, JapanDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, JapanDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, JapanDivision of Gastroenterology and Hepatology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan; Consultation Center for Liver Diseases, Shinshu University Hospital, Matsumoto, Japan; Takeji Umemura, PhD, MD, Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.A 51-year-old male patient with alcoholic cirrhosis visited our hospital for a scheduled gastrostomy replacement. During the gastrostomy replacement, he suddenly experienced a massive hemorrhage from the fistula site. Based on enhanced computed tomography findings, we concluded that collateral blood vessels from the left gastroepiploic vein had flowed into the varices near the gastrostomy as the main origin of the bleeding. The patient received treatment with percutaneous transhepatic occlusion for the varices, which halted blood flow to the varices. This case suggests the possibility of such a complication in patients with worsening portal hypertension and the effectiveness of percutaneous transhepatic occlusion treatment.http://www.sciencedirect.com/science/article/pii/S2772572323000523 |
| spellingShingle | Taiki Okumura Takefumi Kimura Tomoo Yamazaki Takayuki Miyazawa Yoshinori Tsukahara Masahiro Kurozumi Yugo Iwaya Tadanobu Nagaya Takeji Umemura Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal Hypertension Gastro Hep Advances |
| title | Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal Hypertension |
| title_full | Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal Hypertension |
| title_fullStr | Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal Hypertension |
| title_full_unstemmed | Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal Hypertension |
| title_short | Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal Hypertension |
| title_sort | management of rare hemorrhage from collateral vessels during gastrostomy replacement using percutaneous transhepatic occlusion in patient with portal hypertension |
| url | http://www.sciencedirect.com/science/article/pii/S2772572323000523 |
| work_keys_str_mv | AT taikiokumura managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension AT takefumikimura managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension AT tomooyamazaki managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension AT takayukimiyazawa managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension AT yoshinoritsukahara managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension AT masahirokurozumi managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension AT yugoiwaya managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension AT tadanobunagaya managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension AT takejiumemura managementofrarehemorrhagefromcollateralvesselsduringgastrostomyreplacementusingpercutaneoustranshepaticocclusioninpatientwithportalhypertension |