Ascending colonic variceal bleeding: utility of phase-contrast MR portography in diagnosis and follow-up after treatment with TIPS and variceal embolization.

Abstract:

:The authors describe the discovery of ascending colonic variceal veins via celiomesenteric diagnostic angiography following a bout of melena in a 44-year-old woman. Magnetic resonance imaging, including phase-contrast MR venography, allowed visualization of the portal and systemic veins immediately after the initial angiograms. The hemorrhagic episode did not resolve until after transjugular intrahepatic shunt insertion and selective variceal embolization through the shunt. At 1 week-, 3 months-, and 6 months post treatment, follow-up MR venography no longer revealed the presence of colonic varices. Colonoscopy at 6 months was normal and the patient did not have any further episodes of bleeding until a liver transplantation was performed after 9 months.

journal_name

Eur Radiol

journal_title

European radiology

authors

Chevallier P,Motamedi JP,Demuth N,Caroli-Bosc FX,Oddo F,Padovani B

doi

10.1007/s003309900308

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

1280-3

issue

8

eissn

0938-7994

issn

1432-1084

journal_volume

10

pub_type

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