Abstract
In the setting of portal hypertension, intractable bleeding from anorectal varices is a rare occurrence. In this review, clinical presentation and management of this dilemma are presented in a case-based fashion. Bleeding may occur in the absence of prior history of cirrhosis or gastroesophageal varices and measurement of hepatic venous pressure gradient and liver biopsy could help to establish the diagnosis. Successful treatment outcome necessitates tailoring treatment to the patient’s anatomy and imaging findings. A multidisciplinary algorithmic approach is also proposed to aid clinicians in this regard.
Original language | English (US) |
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Pages (from-to) | 1163-1170 |
Number of pages | 8 |
Journal | Abdominal Radiology |
Volume | 46 |
Issue number | 3 |
DOIs | |
State | Published - Mar 2021 |
Externally published | Yes |
Keywords
- Anorectal variceal bleeding
- Interventional radiology
- Transjugular intrahepatic portosystemic shunt
ASJC Scopus subject areas
- Radiological and Ultrasound Technology
- Radiology Nuclear Medicine and imaging
- Gastroenterology
- Urology