Balloon occluded retrograde transvenous obliteration and percutaneous transhepatic obliteration for ruptured duodenal varices after operation for rectal cancer with multiple liver metastasis: report of a case

Kazuhito Takamura; Hidenori Miyake; Hiroki Mori; Yoshiyasu Terashima; Tsutomu Ando; Masahiko Fujii; Seiki Tashiro; Mitsuo Shimada

doi:10.2152/jmi.52.212

Case reports

Balloon occluded retrograde transvenous obliteration and percutaneous transhepatic obliteration for ruptured duodenal varices after operation for rectal cancer with multiple liver metastasis: report of a case

Kazuhito Takamura, Hidenori Miyake, Hiroki Mori, Yoshiyasu Terashima, Tsutomu Ando, Masahiko Fujii, Seiki Tashiro, Mitsuo Shimada

Author information

Kazuhito Takamura
Department of Digestive Surgery, Ehime Prefectural Central Hospital
Hidenori Miyake
Department of Surgery, Tokushima City Hospital
Hiroki Mori
Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Yoshiyasu Terashima
Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Tsutomu Ando
Department of Surgery, Kochi National Hospital
Masahiko Fujii
Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Seiki Tashiro
Department of Surgery, Shikoku Central Hospital
Mitsuo Shimada
Department of Digestive and Pediatric Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School

Keywords: duodenal varices, portal hypertension, balloon occluded retrograde transvenous obliteration, percutaneous transhepatic obliteration

JOURNAL FREE ACCESS

2005 Volume 52 Issue 3,4 Pages 212-217

DOI https://doi.org/10.2152/jmi.52.212

Details

Abstract

We report a patient with duodenal varices oozing blood who had undergone low anterior resection of the rectum and resection of the liver tumor because of multiple liver metastasis from rectal cancer 80 months previously. Although endoscopic variceal ligation (EVL) was carried out for the ruptured duodenal varices, their bleeding persisted and hepatic encephalopathy also appeared. Finally, balloon occluded retrograde transvenous obliteration (BRTO) with percutaneous transhepatic obliteration (PTO) was carried out for the duodenal varices. Percutaneous transhepatic portography revealed detailed hemodynamics. Following PTO, the duodenal varices were stagnated by BRTO, and no complications were recognized. No re-bleeding episode has been observed since the treatment. In addition, the hepatic encephalopathy was also improved. J. Med. Invest. 52: 212-217, August, 2005

Corresponding author

Register with J-STAGE for free!