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.
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Level 5, case report.
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Fukumoto, G., Kimura, H., Kanagaki, M. et al. Intraabdominal Hemorrhage from Ruptured Ectopic Varices Treated by Antegrade Embolization via a Recanalized Paraumbilical Vein. Cardiovasc Intervent Radiol 42, 1204–1207 (2019). https://doi.org/10.1007/s00270-019-02235-4
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DOI: https://doi.org/10.1007/s00270-019-02235-4