A case of ascending colon variceal bleeding treated with venous coil embolization

作者：Ko Bong Suk; Kim Woo Tae; Chang Su Sun; Kim Eun Hye; Lee Seung Woo; Park Won Seok; Kim Yeon Soo; Nam Soon Woo; Lee Dong Soo; Kim Ji Chang; Kang Sang Bum^*

来源：World Journal of Gastroenterology, 2013, 19(2): 311-315.

DOI：10.3748/wjg.v19.i2.311

• Colon ascending
• Varicose veins
• Liver cirrhosis
• Therapeutic embolization

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.

• 出版日期2013-1-14