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Percutaneous transhepatic obliteration for ruptured gastric varices: A case report
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Abstract
Background: Upper gastrointestinal bleeding from gastroesophageal varices is a frequent complication in patients with liver cirrhosis and portal hypertension. Gastric varices are difficult to control under endoscopically while endovascular intervention is effective method. We report a case of ruptured gastric varices that was successfully intervention by percutaneous transhepatic obliteration.
Case presentation: A 50-year-old male patient, with a history of cirrhosis, was admitted to the hospital with a large amount of blood vomiting and black stools. Gastroscopy showed a ruptured gastric varices and blood sprayed. The patient was occluded with gastric varices by percutaneous transhepatic obliteration. After 2 days, the patient's condition improved, yellow stools, was discharged.
Conclusion: Obliteration of gastric varices in patients with cirrhosis by percutaneous transhepatic obliteration (PTO) is a safe and effective technique, a good choice in the absence of gastrorenal shunt. The advantage is intervention in emergency situations, no need to examine the vessels first with computed tomography.
Keywords: gastric varices, percutaneous transhepatic obliteration.
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References
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