A SUCCESSFUL CASE OF ENDOSCOPIC INJECTION SCRELOTHERAPY FOR ESOPHAGEAL VARICES COMPLICATED WITH ADULT POLYCYSTIC LIVER

Abstract

We reported a successful case of endoscopic injection screlotherapy (EIS) for eso-phageal varices complicated with adult polycystic liver. A 43-year-old woman was admitted to our clinic for treatment of esophageal varices with EIS after surgical treatment for polycystic liver through fenestration and partial resection. Compression of the portal veins by liver cysts was considered to form eso-phageal varices based on the histologic findings of the biopsied liver. The esophageal varices disappeared by a combination method of EIS with EO-AS. After EIS, a heart/liver ratio on the scintigraphy of 201-T1 administrated perrectaly was higher than that of liver cirrhosis. This result suggested that collateral routes of portal veins were developed sufficiently. She has been free from recurrence of esophageal varices for 30 months.