Jejunal Variceal Bleeding Successfully Treated with Percutaneous Coil Embolization

• DOI: 10.3346/jkms.2012.27.3.321
• Publication Date: 2012-02-25T01:19:42Z
• Authors: So My Koo; Soung Won Jeong; Jae Young Jang; Tae Hee Lee; Seong Ran Jeon; Hyun Gun Kim; Jin Oh Kim; Yong Jae Kim
• Keywords: Hematochezia; Angiodysplasia; Enteroscopy; Jejunum; Melena; Gastrointestinal bleeding; Superior mesenteric vein

Jejunal Variceal Bleeding Successfully Treated with Percutaneous Coil EmbolizationA 52-yr-old male alcoholic liver cirrhosis was hospitalized for hematochezia.He had undergone small-bowel resection due to trauma 15 yr previously.Esophagogastroduodenoscopy showed grade 1 esophageal varices without bleeding.No bleeding lesion seen on colonoscopy, but capsule endoscopy suspicious from angiodysplasia in the small bowel.After 2 weeks of conservative treatment, hematochezia stopped.However, week later, patient re-admitted and a hemoglobin level 5.5 g/dL.Capsule performed again active mid-jejunum.Abdominal computed tomography revealed varix jejunal branch superior mesenteric vein.A direct portogram via transhepatic route portosystemic collaterals at distal jejunum.The underwent coil embolization vein just above subsequently discharged re-bleeding.At 8 months after discharge, his condition has remained stable, further episodes.