BRTO 病例1_杨宁介入医学网

A 65 year old man with chronic portal vein thrombosis and cavernous transformation, and with gastric varicealbleeding


Venogram shows gastric varix and inferior phrenic vein	Embolization of the inferior phrenic vein with multiple coils and infused sclerosant into the varix	F/U plain abdomen shows uptake of sclerosant into the gastric varix


Three months F/U CT shows chronic portal vein thrombosis (arrows) with cavernous transformation	gastric varixis no longer seen with uptake of lipidol in the gastrorenal shunt	gastric varixis no longer seen with uptake of lipidol in the gastrorenal shunt

病例2

A 50 year old woman with complete portal vein thrombosis related to necrotizing pancreatitis and with hematemesis


A 50 year old woman with complete portal vein thrombosis related to necrotizing pancreatitis and with hematemesis


Venogram(a) shows gastric varix(arrowhead) and inferior phrenicvein (arrow). Embolizationof the inferior phrenicvein with multiple coils (arrow) and infused sclerosantinto the varix(arrowhead) were noted (b)

病例2 随访


Three months F/U CT shows no residual gastric varix with uptake of lipidol(arrow).

Case 2-F/U


Upper endoscopy 23 days after BRTO. Mucosal changes consistent with portal gastropathy(top figure) and non-bleeding gastric varices(bottom figure) are shown		Upper endoscopy 64 days after BRTO. Gastric mucosa appears normal.

病例3

A 35 year old man with partial portal vein thrombosis related to Crohn’sdisease and gastric varix Prophylactic BRTO of gastric varixdue to continuing anticoagulation therapy


CT examination 6 days prior to BRTO. Residual partial thrombosis (arrow) is noted in right portal vein	Gastric varix(arrows) was identified when this patient, who required anticoagulation therapy for portal vein thrombosis, presented with left upper quadrant pain

Gastric varix(arrows) was identified when this patient, who required anticoagulation therapy for portal vein thrombosis, presented with left upper quadrant pain	Gastric varix(arrows) was identified when this patient, who required anticoagulation therapy for portal vein thrombosis, presented with left upper quadrant pain

杨宁介入医学网

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BRTO 病例1