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Erschienen in: CardioVascular and Interventional Radiology 11/2020

24.07.2020 | Case Report

Transcatheter Embolization of Renal–Splenic Shunt to Treat Hematemesis

verfasst von: Neema Jamshidi, Stephen T. Kee

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 11/2020

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Abstract

Although sequelae of chronic liver disease are the most common causes of altered pressure dynamics in the portal and splanchnic circulations, there are other mechanisms resulting in increased venous pressures with subsequent development of splenic and gastric varices. We report a case of a patient without portal hypertension, but with bleeding gastric varices with a presumed splenorenal shunt (SRS) on CT. Venography revealed flow reversal through the shunt (directed from the renal vein, into the splenic vein and out the portal vein; a renal-splent shunt (RSR)) and thus an anatomically similar but functionally distinct systemic to mesenteric variant. While being anatomically similar to the well-known SRS, the different flow dynamics necessitate a different approach for treatment and important considerations for the use of any liquid embolic.
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Metadaten
Titel
Transcatheter Embolization of Renal–Splenic Shunt to Treat Hematemesis
verfasst von
Neema Jamshidi
Stephen T. Kee
Publikationsdatum
24.07.2020
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 11/2020
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-020-02578-3

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