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Emergent treatment of variceal bleeding in two infants

A Park1, W Cwikiel

  • 1Vascular and Interventional Radiology, University of Michigan Hospital, Ann Arbor, Michigan, USA. surfari@hanmail.net

Acta Radiologica (Stockholm, Sweden : 1987)
|August 23, 2008
PubMed

Insights

Emergency embolization successfully controlled life-threatening variceal bleeding in two infants. One infant had portal vein thrombosis, and the other had liver cirrhosis due to biliary atresia.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Radiology

Background:

  • Portal hypertension in infants can lead to severe, life-threatening variceal bleeding.
  • Common causes include portal vein thrombosis and liver cirrhosis secondary to biliary atresia.

Observation:

  • Two infants presented with uncontrollable variceal bleeding requiring emergency intervention.
  • One patient was a 9-month-old girl with portal vein thrombosis.
  • The second patient was a 28-month-old girl with liver cirrhosis secondary to biliary atresia.

Findings:

  • Percutaneous transhepatic embolization of varices was performed on both infants.
  • The procedure successfully achieved hemostasis, controlling the variceal bleeding in both cases.

Implications:

  • Percutaneous transhepatic embolization is an effective emergency treatment for uncontrollable variceal bleeding in infants.
  • This minimally invasive technique offers a viable solution for pediatric patients with complex liver conditions and bleeding varices.

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