Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Splenic artery embolization in a woman with bleeding gastric varices and splenic vein thrombosis: a case report. | Saugel et al. Journal of Medical Case Reports 2010 4 247 http content 4 1 247 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Splenic artery embolization in a woman with bleeding gastric varices and splenic vein thrombosis a case report 1 21 1 1 Bernd Saugel Jochen Gaa Veit Phillip Roland M Schmid and Wolfgang Huber Abstract Introduction Gastric variceal bleeding due to splenic vein thrombosis is a life-threatening situation and is often difficult to manage by endoscopy. In the worst cases an emergency splenectomy may be required to stop variceal bleeding. Case presentation We report the case of a 60-year-old Caucasian woman with bleeding gastric varices secondary to splenic vein thrombosis treated by splenic artery embolization. Successful embolization was performed by depositing coils into the splenic artery resulting in cessation of variceal bleeding. After embolization there was no recurrence of bleeding. Conclusion Splenic artery embolization can be an effective and definite treatment for variceal bleeding secondary to splenic vein thrombosis. Introduction In recent years new endoscopic techniques for the management of active variceal hemorrhage have been introduced 1 2 . Although advances have been made in the treatment of bleeding varices bleeding from gastric varices can be a life-threatening situation in patients with portal hypertension 3 . Gastric varices are challenging due to the difficulty of endoscopic approach and high recurrence rate 4 . This high recurrence rate is associated with poor prognosis and decreased survival. The cumulative mortality of gastric varices is as high as around 50 at one year 3 5 . The optimal treatment of gastric variceal bleeding remains controversial 6 7 . Different treatment options for gastric variceal bleeding secondary to splenic vein thrombosis have been discussed. Splenectomy was considered the best treatment in the past 8 9 . Recently splenic artery embolization has been .
