Related Experiment Video
Updated: May 24, 2026
04:09
Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
Published on: June 13, 2025
Jejunal variceal bleeding successfully treated with percutaneous coil embolization
So My Koo1, Soung Won Jeong, Jae Young Jang
1Institute for Digestive Research and Digestive Disease Center, Department of Gastroenterology, Soonchunhyang University Hospital, Seoul, Korea.
Journal of Korean Medical Science
|March 2, 2012
Summary
A patient with alcoholic liver cirrhosis experienced severe gastrointestinal bleeding due to a jejunal varix. Successful coil embolization of the superior mesenteric vein stopped the bleeding, leading to a stable recovery.
Area of Science:
- Gastroenterology
- Interventional Radiology
Background:
- Alcoholic liver cirrhosis can lead to portal hypertension and the formation of varices.
- Gastrointestinal bleeding is a serious complication of liver cirrhosis.
Observation:
- A 52-year-old male with alcoholic liver cirrhosis presented with recurrent hematochezia.
- Initial investigations revealed small bowel angiodysplasia, but bleeding persisted.
- Subsequent capsule endoscopy identified active bleeding in the jejunum.
Findings:
- Abdominal CT revealed a jejunal varix in the superior mesenteric vein.
- Transhepatic portography demonstrated portosystemic collaterals.
- Coil embolization of the superior mesenteric vein successfully treated the bleeding varix.
Implications:
- This case highlights the potential for jejunal varices as a source of significant gastrointestinal bleeding in cirrhotic patients.
- Interventional radiology, specifically coil embolization, offers an effective treatment option for such cases.
- Successful management can lead to long-term stability and prevent recurrent bleeding episodes.
Related Concept Videos
01:28Esophageal Varices-II: Clinical Features and Management
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
01:24Esophageal Varices-I: Introduction
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
01:29Venous Thrombosis III: Interprofessional Care
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD: