The first case of balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric varices in situs inversus abdominus.
Balloon-occluded retrograde transvenous obliteration
Gastric varices
Partial splenic embolization
Polysplenia
Situs inversus abdominus
Journal
Clinical journal of gastroenterology
ISSN: 1865-7265
Titre abrégé: Clin J Gastroenterol
Pays: Japan
ID NLM: 101477246
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
06
11
2020
accepted:
21
12
2020
pubmed:
7
1
2021
medline:
29
6
2021
entrez:
6
1
2021
Statut:
ppublish
Résumé
Situs inversus abdominus is a congenital abnormality characterized by the mirror image positioning of the abdominal organs, making it difficult to diagnosis and treatment of many diseases. Here, we report a rare case of gastric varices in situs inversus abdominus patient. A 55-year-old man was diagnosed with F2-shaped gastric varices associated with alcoholic cirrhosis. Abdominal dynamic computed tomography showed situs inversus abdominus, and gastric varices with a gastrorenal shunt. Due to the complex anatomy, emergency interventional radiology during bleeding was extremely difficult. Therefore, after thorough consultation, we decided to treat gastric varices prophylactically by balloon-occluded retrograde transvenous obliteration. After treatment, the patient's clinical course was generally good, with no adverse events, and the gastric varices disappeared. It is important to assess anatomical positioning using three-dimensional reconstruction computed tomography images before treatment, to adequately prepare, including selecting appropriate devices (i.e., catheters and sheath). Although preventive treatment of gastric varices is controversial, in cases with anatomical complexity, preventive treatment with sufficient preparation would be recommended. To the best of our knowledge, there are no reports of treatment for gastric varices in situs inversus abdominus patient. This case will serve as a reference for successful treatment in future cases.
Identifiants
pubmed: 33403531
doi: 10.1007/s12328-020-01332-z
pii: 10.1007/s12328-020-01332-z
pmc: PMC8016758
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
656-661Références
Toshikuni N, Takuma Y, Tsutsumi M. Management of gastroesophageal varices in cirrhotic patiets: current status and future directions. Ann Hepatol. 2016;15:314–25.
doi: 10.5604/16652681.1198800
Sarin SK, Lahoti D, Saxena SP, et al. Prevalence classification and natural history of gastric varices: a long-term follow-up study in 568 portal hypertension patients. Hepatology. 1992;16:1343–9.
doi: 10.1002/hep.1840160607
Trudeau W, Prindiville T. Endoscopic injection sclerosis in bleeding gastric varices. Gastrointest Endosc. 1986;32:264–8.
doi: 10.1016/S0016-5107(86)71843-9
Kim T, Shijo H, Kokawa H, et al. Risk factors for hemorrhage from gastric fundal varices. Hepatology. 1997;25:307–12.
doi: 10.1002/hep.510250209
Ninoi T, Nishida N, Kaminou T, et al. Balloon-occluded retrograde transvenous obliteration of gastric varices with gastrorenal shunt: long-term follow-up in 78 patients. AJR. 2005;184:1340–6.
doi: 10.2214/ajr.184.4.01841340
Mayo CW, Rice RG. Situs inversus totalis; a statistical review of data on 76 cases with special reference to disease of the biliary tract. Arch Surg. 1949;58:724–30.
doi: 10.1001/archsurg.1949.01240030734014
Park JK, Saab S, Kee ST, et al. Balloon-occluded retrograde transvenous obliteration (BRTO) for treatment of gastric varices: Review and meta-analysis. Dig Dis Sci. 2015;60:1543–53.
doi: 10.1007/s10620-014-3485-8
Waguri N, Hayashi M, Yokoo T, et al. Simultaneous combined balloon-occluded retrograde transvenous obliteration and partial splenic embolization for portosystemic shunts. J Vasc Interv Radiol. 2012;23:650–7.
doi: 10.1016/j.jvir.2012.01.065
Waguri N, Osaki A, Ikarashi S, et al. Simultaneous combined balloon-occluded retrograde transvenous obliteration and partial splenic embolization for gastric fundal varices. United Eur Gastroentrol J. 2016;4:62–9.
doi: 10.1177/2050640615581966
Chikamori F, Kuniyoshi N, Kawashima T, et al. Gastric varices with gastrorenal shunt: combined therapy using transjuglar retrograde obliteration and partial splenic embolization. AJR. 2008;191:555–9.
doi: 10.2214/AJR.07.3356
Chikamori F, Inoue A, Okamoto H, et al. hemodynamic effect of combined therapy using partial splenic embolization and transjuglar retrograde obliteration for gastric varices with gastrorenal shunt. World J Surg. 2010;34:1046–51.
doi: 10.1007/s00268-010-0451-2
Yoshida H, Mamada Y, Taniai N, et al. Long-term results of partial splenic embolization as supplemental treatment for portal-systemic encephalopathy. Am J Gastroenterol. 2005;100:43–7.
doi: 10.1111/j.1572-0241.2005.40559.x
Schmuter KJ, Lindle LM. Situs inversus totalis associated with complex cardiovascular anomalies. Am Heart J. 1958;56:761–8.
doi: 10.1016/0002-8703(58)90218-7
Malik FS, Butt UI, Khan WH, et al. Laparoscopic cholecystectomy in situs inversus totalis. J Coll Phys Surg Pak. 2019;29:1000–2.
doi: 10.29271/jcpsp.2019.10.1000
Khan MK, Talukder RH. Situs inversus totalis: Laparoscopic cholecystectomy and some modifications. Mymensingh Med J. 2018;27:872–8.
pubmed: 30487508
Rungsakulkij N, Tangtawee P. Fluorescence cholangiography during laparoscopic cholecystectomy in a patient with situs inversus totalis: a case report and literature review. BMC surg. 2017;17:43.
doi: 10.1186/s12893-017-0242-x
Kashiwagi S, Ishikawa T, Onoda N, et al. Laparoscopic adrenalectomy in a patient with situs inversus. JSLS. 2013;17:487–90.
doi: 10.4293/108680813X13693422522114
Makiyama K, Sakata R, Yamanaka H, et al. Laparoscopic nephroueterectomy in renal pelvic urothelial carcinoma with situs inversus totalis: preoperative training using a patiet-specific simulator. Urology. 2012;80:1375–8.
doi: 10.1016/j.urology.2012.08.054