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Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices.

Andrea MichielanFilippo VieceliCecilia PravadelliLuisa MoserFlora AgugiaroGiacomo LuppiFrancesco Lorenzo GattiLorenzo CostaUmberto Maria Rozzanigo
Published in: Clinical journal of gastroenterology (2023)
A 61-year-old man with alcoholic cirrhosis and a history of severe cholecystitis leading to secondary thrombosis of the recanalized paraumbilical vein was admitted to our hospital for recurrent gastrointestinal bleeding and severe anemia. Capsule endoscopy and CT angiography detected profuse bleeding in the proximal ileum from ectopic ileal varices. Hepatic venous-portal gradient (HVPG) measurement was consistent with severe portal hypertension. Persistent bleeding despite transjugular intrahepatic portosystemic shunt (TIPS) placement required a combined approach with antegrade through-the-TIPS coil embolization of the ileal varices.
Keyphrases
  • atrial fibrillation
  • early onset
  • blood pressure
  • drug induced
  • pulmonary artery
  • liver injury
  • healthcare
  • pulmonary embolism
  • chronic kidney disease
  • coronary artery
  • ultrasound guided
  • acute care
  • electronic health record