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CardioVascular and Interventional Radiology

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01-08-2019 | Ascites | Case Report

Intraabdominal Hemorrhage from Ruptured Ectopic Varices Treated by Antegrade Embolization via a Recanalized Paraumbilical Vein

Authors: Genki Fukumoto, Hiroyuki Kimura, Mitsunori Kanagaki, Shojiro Oka, Hiroki Tanaka, Yang Wang, Hiroaki Tanaka, Yuki Yamauchi, Toshiyuki Kimura

Published in: CardioVascular and Interventional Radiology | Issue 8/2019

Abstract

A 49-year-old man with alcoholic liver cirrhosis was admitted to our hospital with abdominal pain. Contrast-enhanced CT demonstrated massive hemorrhagic ascites and ectopic varices fed by right colic and ileocolic veins. The varices were treated with selective embolization via a recanalized paraumbilical vein using N-butyl cyanoacrylate. Currently, no complications and rebleeding have occurred for 7 months. Antegrade embolization via a recanalized paraumbilical vein is feasible and less-invasive in a patient with massive ascites. Flow reduction may be effective for intraabdominal hemorrhage from ruptured ectopic varices.

Level of Evidence

Level 5, case report.

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Title: Intraabdominal Hemorrhage from Ruptured Ectopic Varices Treated by Antegrade Embolization via a Recanalized Paraumbilical Vein
Authors: Genki Fukumoto
Hiroyuki Kimura
Mitsunori Kanagaki
Shojiro Oka
Hiroki Tanaka
Yang Wang
Hiroaki Tanaka
Yuki Yamauchi
Toshiyuki Kimura
Publication date: 01-08-2019
Publisher: Springer US
Keywords: Ascites
Phlebography
Portal Hypertension
Portal Hypertension
Published in: CardioVascular and Interventional Radiology / Issue 8/2019
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-019-02235-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Intraabdominal Hemorrhage from Ruptured Ectopic Varices Treated by Antegrade Embolization via a Recanalized Paraumbilical Vein

Abstract

Level of Evidence

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Level of Evidence

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