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A 50 yo female with PSC and a bleeding duodenal varix (DV) was evaluated for possible enbucrilate therapy. Endoscopically, the DV was high risk for re-bleeding but the relative in-flow and out-flow were uncertain. CT showed portal vein thrombosis (PVT) and the vascular anatomy of the DV to consist of inflow from the superior mesenteric vein (SMV) with outflow through the DV and the right gonadal vein. Moreover, the more distal and narrower aspect of the varix was seen to constitute the constricted outflow of the varix rather than a small caliber inflow channel.

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2016-06-23   |   256 visitas   |   Evalua este artículo 0 valoraciones

Vol. 15 Núm.2. Marzo-Abril 2016 Pags. 271-272 Ann Hepatol 2016; 15(2)