Keimyung Med J.  2014 Dec;33(2):146-151. 10.0000/kmj.2014.33.2.146.

A Case of Gastric Variceal Bleeding Controlled by Percutaneous Tranhepatic Glue Embolization

• Hur CJ
• Choi WY
• Han EG
• Jang BK
• Hwang JS
• Chung WJ

• KMID: 1967203
• DOI: http://doi.org/10.0000/kmj.2014.33.2.146

Abstract

Gastric variceal bleeding has relatively low incidence rate compared to esophageal variceal bleeding. However, gastric variceal bleeding tends to lead to a massive bleeding and rebleeding which in turn leads to high mortality rate. In cases where endoscopic approach is limited, Ballon-occluded retrograde transvenous obliteration (BRTO) could be considered as a next modality of seizing acute bleeding. Venous catheterization should be preceded to perform venous embolization, however, in cases of hypovolemic shock status, alternative approaches are required. We are reporting a case of 60-year old female with hypovolemic status due to a massive hematemesis, who went through a percutaneous transhepatic glue embolization to control gastric variceal bleeding.

Keyword

Gastric varix; Percutaneous transhepatic glue embolization

MeSH Terms

Adhesives*
Catheterization
Catheters
Esophageal and Gastric Varices*
Female
Hematemesis
Hemorrhage
Humans
Hypovolemia
Incidence
Mortality
Shock
Adhesives