Spinal Hematoma as a Rare Complication of Balloon-occluded Retrograde Transvenous Obliteration for Gastric Varices: A Case Report

被引：0

作者：

Hagiwara, Hiroaki ^{[1
]}

Takeuchi, Yuka ^{[1
]}

Komita, Midori ^{[1
]}

Yasuda, Naofumi ^{[1
]}

Higa, Airi ^{[2
]}

Kondo, Masaaki ^{[2
]}

机构：

[1] Yokohama Minami Kyosai Hosp, Dept Radiol, Yokohama, Japan

[2] Yokohama Minami Kyosai Hosp, Dept Gastroenterol, Yokohama, Japan

来源：

INTERVENTIONAL RADIOLOGY | 2025年 / 10卷

关键词：

balloon-occluded retrograde transvenous obliteration; gastric varices; spinal hematoma; spinal subdural hematoma; spinal subarachnoid hemorrhage;

D O I：

10.22575/interventionalradiology.2024-0006; 10.22575/interventionalradiology.2024-0006

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

We report a case of lumbar spinal hematoma caused by balloon-occluded retrograde transvenous obliteration for gastric varices in a woman in her 60 s with liver cirrhosis due to non-alcoholic steatohepatitis. The patient presented to the emergency department with a chief complaint of sudden nausea and hematemesis. Endoscopic sclerotherapy was performed, followed by balloon-occluded retrograde transvenous obliteration for residual varices. During balloonoccluded retrograde transvenous obliteration, she complained of back pain and subsequently developed thigh pain. CT and MR scans revealed subdural hematoma and subarachnoid hemorrhage within the spinal canal at the thoracolumbar level. It is presumed that balloon-occluded retrograde transvenous obliteration altered blood flow in the paravertebral plexus, causing an intraspinal canal hemorrhage. To our knowledge, this study is the first to report a case of an iatrogenic spinal hematoma caused by balloon-occluded retrograde transvenous obliteration.

引用

页数：6

共 10 条

[1]

Campabadal A, 2022, J NEUROIMAGING, V32, P80, DOI [10.1111/jon.12927, 10.3171/2020.6.SPINE20625]

[2]

Cho SK, 2007, AM J ROENTGENOL, V189, pW365, DOI 10.2214/AJR.07.2266

[3] Retrograde transvenous obliteration of gastric varices [J].

Hirota, S ;

Matsumoto, S ;

Tomita, M ;

Sako, M ;

Kono, M .

RADIOLOGY, 1999, 211 (02) :349-356

[4] Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration [J].

Kanagawa, H ;

Mima, S ;

Kouyama, H ;

Gotoh, K ;

Uchida, T ;

Okuda, K .

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 1996, 11 (01) :51-58

[5] Spinal hematoma: a literature survey with meta-analysis of 613 patients [J].

D. Kreppel ;

G. Antoniadis ;

W. Seeling .

Neurosurgical Review, 2003, 26 (1) :1-49

[6] Myelopathy-mimicking symptoms of epidural venous engorgement and syringomyelia due to inferior vena cava stenosis at the thoracolumbar junction in a patient with Budd-Chiari syndrome [J].

Lee, Jung-Hee ;

Song, Wook-Jae ;

Kang, Kyung-Chung .

JOURNAL OF NEUROSURGERY-SPINE, 2015, 23 (04) :467-470

[7]

Miyayama Shiro, 2021, Interv Radiol (Higashimatsuyama), V6, P9, DOI [10.22575/interventionalradiology.2020-0024, 10.22575/interventionalradiology.2020-0024]

[8] Balloon-Occluded Retrograde Transvenous Obliteration (BRTO) for Treatment of Gastric Varices: Review and Meta-Analysis [J].

Park, Jonathan K. ;

Saab, Sammy ;

Kee, Stephen T. ;

Busuttil, Ronald W. ;

Kim, Hyun J. ;

Durazo, Francsico ;

Cho, Sung-Ki ;

Lee, Edward Wolfgang .

DIGESTIVE DISEASES AND SCIENCES, 2015, 60 (06) :1543-1553

[9] Balloon-Occluded Retrograde Transvenous Obliteration of Gastric Varices [J].

Patel, Amish ;

Fischman, Aaron M. ;

Saad, Wael E. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2012, 199 (04) :721-729

[10] Spinal epidural hematoma following removal of incorrectly placed jugular central venous catheter Case report [J].

Yokoyama, Kunio ;

Kawanishi, Masahiro ;

Yamada, Makoto ;

Tanaka, Hidekazu ;

Ito, Yutaka ;

Kuroiwa, Toshihiko .

JOURNAL OF NEUROSURGERY-SPINE, 2011, 15 (02) :206-209

← 1 →