Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 16, 2016; 4(1): 25-29
Published online Jan 16, 2016. doi: 10.12998/wjcc.v4.i1.25
Peristomal variceal bleeding treated by coil embolization using a percutaneous transhepatic approach
Macello José Sampaio Maciel, Osvaldo Ignácio Pereira, Joaquim Maurício Motta Leal Filho, Enio Ziemiecki Junior, Susyanne Lavor Cosme, Moisés Amâncio Souza, Francisco Cesar Carnevale
Macello José Sampaio Maciel, Osvaldo Ignácio Pereira, Joaquim Maurício Motta Leal Filho, Enio Ziemiecki Junior, Susyanne Lavor Cosme, Moisés Amâncio Souza, Francisco Cesar Carnevale, Radiology Department of Heart Institute, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-900, Brazil
Author contributions: Maciel MJS, Pereira OI and Motta Leal Filho JM designed the research and analysed the data; Maciel MJS, Pereira OI, Motta Leal Filho JM, Ziemiecki Junior E, Cosme SL and Souza MA performed the research; Maciel MJS, Pereira OI, Motta Leal Filho JM and Carnevale FC wrote the paper.
Institutional review board statement: This case report was reviewed and approved by the University of Sao Paolo - Brazil Institutional Review Board.
Informed consent statement: The patient involved in this study gave her written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Joaquim Maurício Motta Leal Filho, MD, PhD, Radiology Department of Heart Institute, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar, 44, Pinheiros, São Paulo 05403-900, Brazil. jotamauf@yahoo.com.br
Telephone: +55-11-26615492
Received: April 28, 2015
Peer-review started: May 6, 2015
First decision: September 8, 2015
Revised: October 14, 2015
Accepted: November 10, 2015
Article in press: November 11, 2015
Published online: January 16, 2016
Processing time: 261 Days and 5.7 Hours
Core Tip

Core tip: Peristomal variceal bleeding in patients with portal hypertension is a rare entity with increased risk of death. In situations when life-saving procedures are required in such patients, standard treatment modality has not been established. We illustrate a successfully performed emergency transhepatic coil embolization of bleeding varices in an oncological patient with contraindications to transjugular intrahepatic portosystemic shunt. Additionally, we discuss other different treatment options described in the literature and its technical challenges.