2019
DOI: 10.1007/s00270-019-02235-4
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Intraabdominal Hemorrhage from Ruptured Ectopic Varices Treated by Antegrade Embolization via a Recanalized Paraumbilical Vein

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Cited by 6 publications
(6 citation statements)
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“…In a literature review of published cases, we identified eight previous case reports of hemoperitoneum in the setting of bleeding ectopic abdominal varices [3,[20][21][22][23][24][25][26]. Four patients underwent exploratory laparotomy with ligation with 100% mortality [21,[24][25].…”
Section: Discussionmentioning
confidence: 99%
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“…In a literature review of published cases, we identified eight previous case reports of hemoperitoneum in the setting of bleeding ectopic abdominal varices [3,[20][21][22][23][24][25][26]. Four patients underwent exploratory laparotomy with ligation with 100% mortality [21,[24][25].…”
Section: Discussionmentioning
confidence: 99%
“…Only two previous case reports involved an interventional radiology procedure [ 20 , 22 ]. The first patient was a 37-year-old male with cirrhosis due to non-alcoholic fatty liver disease who received coil embolization of a varix emanating from the superior mesenteric vein [ 20 ].…”
Section: Discussionmentioning
confidence: 99%
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“…A recanalized umbilical vein has been reported to occur in more than 20% of patients with portal hypertension [8] . Previous case reports have demonstrated the usefulness of the transparaumbilical venous approach for embolization of gastroesophageal and ectopic varices due to cirrhosis [3] , [4] , [5] , [6] , [7] . The benefits of the transparaumbilical venous approach include reduced invasiveness and enhanced accessibility to target vessels, compared with other approach routes (eg, percutaneous transhepatic, transjugular, transfemoral, and mesenteric venous routes).…”
Section: Discussion/conclusionmentioning
confidence: 99%
“…Approaches for embolization of a portosystemic shunt include percutaneous transhepatic, transjugular, transfemoral, transparaumbilical, and mesenteric venous routes. A percutaneous approach to the portal venous system via the paraumbilical vein has been reported [3] , [4] , [5] , [6] , [7] ; however, it remains unfamiliar to many clinicians, compared with other routes. We describe a patient who exhibited chronic hepatic encephalopathy due to a paraumbilical shunt; embolization was successfully performed by means of a percutaneous transparaumbilical venous approach.…”
Section: Introductionmentioning
confidence: 99%