Variceal bleeding in the small intestine successfully treated with balloon-occluded retrograde transvenous obliteration using N-butyl-2-cyanoacrylate: A case report

Abstract

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.

Trauma Associated Ectopic Ileal Varices

“…Postoperative adhesions between abdominal wall and small intestine is also thought to be important in the pathogenesis. 7 The pathophysiology of varicose veins should be known when planning the treatment of EcV. Portosystemic flow is provided by collaterals developed due to portal hypertension because of various reasons.…”

“…8 In few reported cases in the literature, invasive radiological treatments (Balloon-occluded retrograde transvenous obliteration (B-RTO), transjugular intrahepatic portosystemic shunt (TIPS)) and surgical resection are among the applied treatments for the treatment of EcV. [11][12][13][14][15][16][17][18] In our case, embolization was performed in the treatment of EcV in the ileum for the first time unlike in other cases in the literature.…”