Ascending Colon Variceal Bleeding in Cirrhotic Patient with Emergent Endoscopic Variceal Obturation with N-butyl-2-cyanoacrylate

The Korean Journal of Gastroenterology

Chang Lae Kim¹  Taehong Kim¹  Won Hyuk Lee¹  Joo Wan Seo¹  Joon Hyuk Choi¹  Nae-Yun Heo¹  Seung Ha Park¹ 

[1] Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea;

关键词: Colon;    ascending;    Colonoscopy;    Cyanoacrylates;    Liver cirrhosis;    Varix;   

DOI  :  10.4166/kjg.2018.72.1.37

来源: DOAJ

【 摘 要 】

Ectopic varices are rare among patients with portal hypertension, especially in the ascending colon. It is difficult to evaluate massive lower gastrointestinal bleeding in patients with liver cirrhosis by colonoscopy due to hemodynamic instability and poor bowel preparation. In Korea, there has only been one case report about ascending colon variceal bleeding, in which hemostasis was performed by venous coil embolization. We report another rare case of ascending colon variceal bleeding in a patient with alcoholic cirrhosis, who was successfully treated via two sessions of N-butyl-2-cyanoacrylate injection through colonoscopy. This case suggests that the careful endoscopic approach and hemostasis with glue injection might be an option for treating massive bleeding in the lower gastrointestinal varix.

【 授权许可】

Unknown