Fig. 3. A 65-year-old male patient who had liver cirrhosis and portal hypertension underwent laparoscopy-assisted distal gastrectomy for early gastric cancer. Contrast-enhanced axial computed tomography scan (A) and transhepatic superior mesenteric venography (B) show bleeding jejunal varix (arrow) communicating with the right inferior epigastric vein (arrowheads). Embolization of bleeding jejunal varix and right inferior epigastric vein was performed. Right common femoral vein was punctured, and distal portion of right inferior epigastric vein was selected and embolized using microcoils and a vascular plug. (C) Contrast medium extravasation to the jejunal lumen (arrow) was more clearly visible in venography through the inferior epigastric vein. Embolization using gelatin sponge and N-butyl cyanoacrylate glue was done. Tract embolization using coils was done. (D) Completion angiography shows no residual varix nor bleeding.
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