Management of Rare Hemorrhage From Collateral Vessels During Gastrostomy Replacement Using Percutaneous Transhepatic Occlusion in Patient With Portal Hypertension

A 51-year-old male patient with alcoholic cirrhosis visited our hospital for a scheduled gastrostomy replacement. During the replacement, he suddenly experienced massive hemorrhage from fistula site. Based on enhanced computed tomography findings, we concluded that collateral blood vessels left gastroepiploic vein had flowed into varices near as main origin of bleeding. The received treatment percutaneous transhepatic occlusion varices, which halted flow to varices. This case suggests possibility such complication in patients worsening portal hypertension and effectiveness treatment.