Role of interventional radiology in intractable bleeding rectal varices

In the setting of portal hypertension, intractable bleeding from anorectal varices is a rare occurrence. In this review, clinical presentation and management of this dilemma are presented in a case-based fashion. Bleeding may occur in the absence of prior history of cirrhosis or gastroesophageal var...

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Published inAbdominal imaging Vol. 46; no. 3; pp. 1163 - 1170
Main Authors Rhanemai-Azar, Amir Ata, Rajdev, Maharshi, Ismail, Mayada, McLoney, Eric Dean, Tavri, Sidhartha, Al-Natour, Mohammed S.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.03.2021
Springer Nature B.V
Subjects
Anorectal
Biopsy
Bleeding
Catheters
Cirrhosis
Gastroenterology
Hemorrhage
Hepatology
Hypertension
Imaging
Liver cirrhosis
Liver diseases
Medicine
Medicine & Public Health
Radiology
Rectum
Review
Veins & arteries
Anorectal variceal bleeding
Interventional radiology
Transjugular intrahepatic portosystemic shunt
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Summary:In the setting of portal hypertension, intractable bleeding from anorectal varices is a rare occurrence. In this review, clinical presentation and management of this dilemma are presented in a case-based fashion. Bleeding may occur in the absence of prior history of cirrhosis or gastroesophageal varices and measurement of hepatic venous pressure gradient and liver biopsy could help to establish the diagnosis. Successful treatment outcome necessitates tailoring treatment to the patient’s anatomy and imaging findings. A multidisciplinary algorithmic approach is also proposed to aid clinicians in this regard.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:2366-004X
2366-0058
DOI:10.1007/s00261-020-02746-6