Successful plug-assisted retrograde transvenous obliteration via the right gonadal vein for duodenal variceal bleeding from a mesocaval shunt
Duodenal variceal bleeding is a rare but potentially life-threatening complication of portal hypertension, frequently associated with abnormal portosystemic collateral pathways. We present a case of successful plug-assisted retrograde transvenous obliteration (PARTO) performed for duodenal varices d...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Society of Gastrointestinal Intervention
2025-07-01
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| Series: | International Journal of Gastrointestinal Intervention |
| Subjects: | |
| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii250032 |
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| Summary: | Duodenal variceal bleeding is a rare but potentially life-threatening complication of portal hypertension, frequently associated with abnormal portosystemic collateral pathways. We present a case of successful plug-assisted retrograde transvenous obliteration (PARTO) performed for duodenal varices draining into the right gonadal vein via a mesocaval shunt in a patient with hepatocellular carcinoma and liver cirrhosis. Despite severe angulation and tortuosity of the shunt, a strategic approach involving dual vascular plugs and gelfoam injection successfully achieved complete shunt obliteration without recurrence over a two-year follow-up period. This case underscores the feasibility of PARTO even in anatomically complex ectopic varices and suggests its applicability beyond traditionally described shunt anatomies. |
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| ISSN: | 2636-0004 |