Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 28, 2023; 29(24): 3922-3931
Published online Jun 28, 2023. doi: 10.3748/wjg.v29.i24.3922
Treatment of colonic varices and gastrointestinal bleeding by recanalization and stenting of splenic-vein-thrombosis: A case report and literature review
Lisa-Michaela Füssel, Rene Müller-Wille, Patrick Dinkhauser, Walter Schauer, Harald Hofer
Lisa-Michaela Füssel, Patrick Dinkhauser, Harald Hofer, Department of Internal Medicine I, Gastroenterology and Hepatology, Klinikum Wels-Grieskirchen, Wels 4600, Austria
Rene Müller-Wille, Department of Radiology, Klinikum Wels-Grieskirchen, Wels 4600, Austria
Walter Schauer, Department of Abdominal Surgery, Klinikum Wels-Grieskirchen, Wels 4600, Austria
Author contributions: Füssel LM and Hofer H performed the research and drafting of the manuscript; Dinkhauser P, Müller-Wille R and Schauer W did a critical revision of the manuscript for important intellectual content; Füssel LM and Müller-Wille R performed image editing; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Harald Hofer, MD, Professor, Department of Internal Medicine I, Gastroenterology and Hepatology, Klinikum Wels-Grieskirchen, Grieskirchnerstraße 42, Wels 4600, Austria.harald.hofer@klinikum-wegr.at
Received: February 1, 2023
Peer-review started: February 1, 2023
First decision: April 14, 2023
Revised: April 27, 2023
Accepted: May 24, 2023
Article in press: May 24, 2023
Published online: June 28, 2023
Core Tip

Core Tip: Splenic vein thrombosis (SVT) is a complication of pancreatitis and can lead to development of varices with a high risk of gastrointestinal bleeding. While clear guidelines are lacking, splenectomy or splenic artery embolization are often employed. We present a rare case of recurrently bleeding colonic varices (CV) due to pancreatitis-induced (PI) SVT. In an interdisciplinary board, transhepatic recanalization of the splenic vein and consecutive stenting, as well as coiling of aberrant veins was decided and successfully performed. Follow-up revealed complete regression of varices. According to our knowledge, there is no case report in English literature describing stenting of PISVT in a patient with CV.