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Transjugular intrahepatic portosystemic shunt placement for symptomatic non- bleeding anorectal varices in nodular regenerative hyperplasia

Journal Volume 83 - 2020
Issue Fasc.2 - Case reports
Author(s) B. Waked 1, K. Favere 2, J. Marrannes 3, D. De Wulf 4, J. Decaestecker 4
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PAGES 331-333
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Affiliations:
(1) Ghent University Hospital, Department of Gastroenterology, 9000 Ghent, Belgium
(2) Ghent University Hospital, Department of Internal Medicine, 9000 Ghent, Belgium
(3) Academic Hospital Roeselare, Department of Radiology, 8800 Roeselare, Belgium
(4) Academic Hospital Roeselare, Department of Gastroenterology, 8800 Roeselare, Belgium.

In this paper we present the case of a male 55-year old patient with known ulcerative colitis and nodular regenerative hyperplasia, a rare form of noncirrhotic portal hypertension. He presented four visits to the emergency department with rapidly progressive anal discomfort. After two weeks a transjugular intrahepatic portosystemic shunt was placed using the gun-sight technique with immediate relief of the unbearable anal pain and pressure. To our knowledge, this is the first case where transjugular intrahepatic portosystemic shunt placement is applied for non- bleeding, congestive anorectal varices.

Keywords: noncirrhotic portal hypertension, perirectal congestion, interventional radiology.

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 32603056