Rupture of jejunal varices treated with balloon-occluded retrograde transvenous obliteration

Bleeding from varices arising from outside of the gastroesophageal region is rare. We report a case of ruptured jejunal varices, successfully treated with B-RTO. Our patient was a 60-year-old man with alcoholic cirrhosis who had undergone total gastrectomy two years before he visited our clinic with tarry stool and hypotensive shock. Results of 3DMDCT clearly showed variceal formation at the jejunal loop around the anastomotic site and abdominal wall as well as the extensive epigastric outflow tract, which finally drained into the left femoral vein. B-RTO was carried out via right femoral approach, using a microcatheter system. The varices disappeared, and the patient remained asymptomatic 18 months after the treatment.