Title
Management of refractory rectal variceal bleed using computed tomography
Authors
Devara Anil Kashi Vishnuvardhan1, P. Lavanya1, Sandeep Botcha1, Biswa Basu Das1, Sandeep Sahu1 & Payala Vijayalakshmi2,*
Affiliation
1MVP Medicover Hospitals, Visakhapatnam, Andhra Pradesh, India; 2Department of Microbiology, GITAM Institute of Medical sciences and Research, GITAM Deemed to be University, Visakhapatnam, India; *Corresponding author
Devara Anil Kashi Vishnuvardhan - E-mail: anilkashivishnuvardhan@gmail.com; Phone: +91 7702022274
Lavanya P - E-mail: lavanyapmedicover@gmail.com; Phone: +91 9985588479
Sandeep Botcha - E-mail: sandeepbotcharadio@gmail.com; Phone: +91 9091188888
Biswa Basu Das - E-mail: biswabasvdas@gmail.com; Phone: +91 9177711162
Sandeep Sahu - E-mail: sandeepsahumedicover@gmail.com; Phone: +91 9052127404
Payala Vijayalakshmi - E-mail: bavisettyvijayalakshmi2@gmail.com; Phone: +91 7396814333
Article Type
Research Article
Date
Received July 1, 2024; Revised July 31, 2024; Accepted July 31, 2024, Published July 31, 2024
Abstract
The management of refractory rectal variceal bleed using a minimally invasive percutaneous approach is described. Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Bleeding is less common from rectal varices than from esophageal varices, but it is potentially life-threatening. Hence, it is of interest to describe a novel minimally invasive percutaneous technique to control refractory bleeding from rectal varices in a complex scenario where other proven treatments have failed. In the present study, a 28-year-old male presented to the Emergency department with one episode of hematemesis, hematochezia and severe abdominal pain. Sigmoidoscopy revealed actively bleeding rectal varices. CT abdominal angiogram revealed variceal formation in the rectum. we successfully performed CT guided percutaneous N- butyl cyanoacrylate (NBCA) glue injection of rectal varices with immediate and complete cessation of rectal bleed after failed endoscopic sclerotherapy.
Keywords
Refractory rectal variceal bleed, CT guided percutaneous glue injection, CT abdominal angiogram
Citation
Kashi Vishnuvardhan et al. Bioinformation 20(7): 812-815 (2024)
Edited by
P Kangueane
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
