Percutaneous transhepatic occlusion for bleeding oesophageal varices in polycystic disease

Area of Science:

• Pediatric Gastroenterology
• Interventional Radiology
• Hepatology

Background:

• Congenital polycystic kidney and liver disease can lead to serious complications like portal hypertension.
• Portal hypertension in pediatric patients often results in gastro-oesophageal varices, increasing the risk of upper gastrointestinal bleeding.

Observation:

• A 7-year-old boy diagnosed with congenital polycystic disease of the kidneys and liver presented with significant portal hypertension.
• The patient experienced two episodes of upper gastrointestinal bleeding due to gastro-oesophageal varices.

Findings:

• Percutaneous transhepatic occlusion of varices and the left gastric vein was performed as an intervention.
• Following the procedure, the patient remained free of further haemorrhage for one year.

Implications:

• Percutaneous transhepatic varix embolization is a viable and effective treatment for managing gastrointestinal bleeding in pediatric patients with congenital polycystic disease.
• This interventional approach offers a minimally invasive alternative for controlling variceal bleeding in complex pediatric cases.
• Successful embolization can significantly improve patient outcomes by preventing recurrent bleeding and associated morbidity.