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

Cardiovasc Intervent Radiol. 2019 Aug;42(8):1204-1207. doi: 10.1007/s00270-019-02235-4. Epub 2019 May 9.

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.

Keywords: Ectopic varices; Embolization; Intraabdominal hemorrhage; N-Butyl cyanoacrylate; Paraumbilical vein.

Publication types

  • Case Reports

MeSH terms

  • Embolization, Therapeutic / methods*
  • Enbucrilate / therapeutic use
  • Esophageal and Gastric Varices / complications*
  • Esophageal and Gastric Varices / diagnostic imaging
  • Esophageal and Gastric Varices / therapy*
  • Gastrointestinal Hemorrhage / diagnostic imaging
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Liver Cirrhosis, Alcoholic / complications*
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Enbucrilate