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.

中文翻译：

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破裂的异位静脉曲张行腹腔内出血，通过经再通的脐旁静脉进行整体栓塞治疗。

一名49岁的酒精性肝硬化患者因腹痛入院。对比增强CT显示右绞痛和回肠静脉有大量出血性腹水和异位静脉曲张。通过使用氰基丙烯酸N-丁酯经再通的脐带旁静脉选择性栓塞治疗静脉曲张。目前，在7个月内没有发生并发症和再出血。在患有大腹水的患者中，通过再通的脐带旁静脉进行整体栓塞是可行的，并且侵入性较小。流量减少对于异位静脉曲张破裂引起的腹腔内出血可能是有效的。证据级别：5级，案例报告。