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DOI: 10.1055/s-0044-1783337
Anorectal variceal bleeding successfully treated with injection of a sclerosing agent used in sclerotherapy of varicose veins of the lower extremities (ethanolamine)
Authors
Abstract Text Anorectal varices are relatively common in patients with portal hypertension. [1] [2] [3] [4] [5]
A 76-year-old female patient with a history of hepatitis B virus-related liver cirrhosis presented with multiple episodes of hematochezia. The patient was hemodynamically stable with significant reduction in hematocrit. She underwent sigmoidoscopy which revealed enlarged anorectal varicose veins. The bleeding vessels were treated successfully with with injection of a sclerosing agent used in sclerotherapy of varicose veins of the lower extremities (ethanolamine).
Anorectal varices are a significant source of bleeding in patients with portal hypertension.
Conflicts of interest
Authors do not have any conflict of interest to disclose.
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References
- 1 Chatani S, Seki K, Sonoda A, Murakami Y, Tomozawa Y, Fujimoto T, Andoh A, Watanabe Y.. Bleeding anorectal varices treated by a direct puncture approach through the greater sciatic foramen: The utility of a steerable microcatheter for reverse catheterization. Radiol Case Rep 2022; 17 (04) 1104-1109
- 2 Tao Z, Wang H, Du Z, Zhang Y.. Anorectal Variceal Bleeding Treated by Sclerotherapy. Am J Gastroenterol 2022; 117 (09) 1403
- 3 Ahn SS, Kim EH, Kim MD, Lee WJ, Kim SU.. Successful hemostasis of intractable rectal variceal bleeding using variceal embolization. World J Gastroenterol 2015; 21 (08) 2558-62
- 4 Maslekar S, Toh EW, Adair R, Bate JP, Botterill I.. Systematic review of anorectal varices. Colorectal Dis 2013; 15 (12) e702-10
- 5 Rhanemai-Azar AA, Rajdev M, Ismail M, McLoney ED, Tavri S, Al-Natour MS.. Role of interventional radiology in intractable bleeding rectal varices. Abdom Radiol (NY) 2021; 46 (03) 1163-1170
Publication History
Article published online:
15 April 2024
© 2024. European Society of Gastrointestinal Endoscopy. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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References
- 1 Chatani S, Seki K, Sonoda A, Murakami Y, Tomozawa Y, Fujimoto T, Andoh A, Watanabe Y.. Bleeding anorectal varices treated by a direct puncture approach through the greater sciatic foramen: The utility of a steerable microcatheter for reverse catheterization. Radiol Case Rep 2022; 17 (04) 1104-1109
- 2 Tao Z, Wang H, Du Z, Zhang Y.. Anorectal Variceal Bleeding Treated by Sclerotherapy. Am J Gastroenterol 2022; 117 (09) 1403
- 3 Ahn SS, Kim EH, Kim MD, Lee WJ, Kim SU.. Successful hemostasis of intractable rectal variceal bleeding using variceal embolization. World J Gastroenterol 2015; 21 (08) 2558-62
- 4 Maslekar S, Toh EW, Adair R, Bate JP, Botterill I.. Systematic review of anorectal varices. Colorectal Dis 2013; 15 (12) e702-10
- 5 Rhanemai-Azar AA, Rajdev M, Ismail M, McLoney ED, Tavri S, Al-Natour MS.. Role of interventional radiology in intractable bleeding rectal varices. Abdom Radiol (NY) 2021; 46 (03) 1163-1170