Fumi Sasaki, Atsushi Jogo, Akira Yamamoto, Ken Kageyama, Akane Tashiro, Yasuhito Mitsuyama, Tatsushi Oura, Kazuki Matsushita, Kazuo Asano, Eisaku Terayama, Masanori Ozaki, Yuki Sakai, Shohei Harada, Kazuki Murai, Mariko Nakano, Ryuichi Kita, Toshio Kaminou, Yukio Miki
Left-sided portal hypertension (LSPH) causes varices and splenomegaly due to splenic vein issues. Colonic varices are rare and lack standardized treatment. We report the successful treatment of colonic varices caused by LSPH, by addressing both the afferent and efferent veins. A 70-year-old man with distal cholangiocarcinoma had surgery without splenic vein resection, leading to proximal splenic vein stenosis and varices at multiple locations. Percutaneous transhepatic splenic venography revealed that collateral veins flowed into the ascending colonic varices and returned to the portal vein...
July 2024: Radiology Case Reports