Stepwise partial splenic embolization for portal hypertension based on a new concept: Splanchnic caput Medusae

Percutaneous transhepatic obliteration for life-threatening bleeding after endoscopic variceal ligation in a patient with severe esophagogastric varices

“…This condition was a severe transformation in portal hypertension. Since 2020, we have proposed a new concept: “splanchnic caput Medusae” in which the spleen is her face and portal collateral pathways are her snake hairs [12] . This case can be said to be the strongest monster Medusae state.…”

“…2 C). According to the “splanchnic caput Medusae” concept [12] , the enlarged spleen was regarded as her face, and the esophagogastric varices as her snake hairs. This case had giant esophageal varices despite the presence of a significant-sized gastrorenal shunt.…”

“…Initial control of portal venous pressure was thought to be necessary to prevent variceal bleeding. A stepwise PSE [12] was implemented.

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Verification of thrombus formation just after endoscopic injection sclerotherapy with ligation for esophagogastric varices by venous phase of left gastric arteriography

“…2 A). According to “splanchnic caput Medusae” concept [3] , the spleen was regarded as her face and esophagogastric varices as her snake hairs.

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“…Management of hepatic venous pressure gradient (HVPG) is important in the treatment of portal hypertension [1 , 2] . We proposed a new concept: “splanchnic caput Medusae” in which the spleen is her face and portal collateral pathways are her snake hairs [3] . In the new concept, partial splenic artery embolization (PSE) is considered the treatment of Medusae's face.…”