Abstract

GARRIDO, Mónica et al. Treating Untreatable Rectal Varices. GE Port J Gastroenterol [online]. 2019, vol.26, n.6, pp.420-424. ISSN 2341-4545.  https://doi.org/10.1159/000496121.

Background: Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Despite their significant prevalence among cirrhotic patients, clinically important bleeding occurs only in a minority. Various treatment options are available, with endoscopic therapies being widely used, and both interventional radiology and surgery being considered for refractory bleeding rectal varices. Case: We report the case of a 61-year-old male with hepatic cirrhosis and bleeding rectal varices refractory to endoscopic therapy, successfully managed with a combination of transjugular intrahepatic portosystemic shunt (TIPS) and selective variceal embolization. Conclusions: Radiological techniques are effective options for refractory bleeding. Adding embolization to TIPS implantation could represent a valid adjunctive measure for haemostasis of recurrent rectal variceal bleeding.

Keywords : Liver cirrhosis; Rectal varices; Transjugular intrahepatic portosystemic shunt; Therapeutic embolization.

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