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Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization

Bleeding ectopic varices is an uncommon but life-threatening complication of portal hypertension that requires a high clinical index of suspicion for early diagnosis and management. Transjugular intrahepatic portosystemic shunt is a safe and effective treatment option for bleeding ectopic varices. H...

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Detalles Bibliográficos
Autores principales: Masood, Irfan, Bradley, Megan, Cavazos-Escobar, Emilio, Patel, Shivam Bhavin, Wong, Brian Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333114/
https://www.ncbi.nlm.nih.gov/pubmed/37441452
http://dx.doi.org/10.1016/j.radcr.2023.06.011
Descripción
Sumario:Bleeding ectopic varices is an uncommon but life-threatening complication of portal hypertension that requires a high clinical index of suspicion for early diagnosis and management. Transjugular intrahepatic portosystemic shunt is a safe and effective treatment option for bleeding ectopic varices. However, due to a high re-bleeding rate despite a patent shunt and reduced portosystemic gradient, adjunctive measures directed at embolization of the varices should be attempted. Herein, we report a case of bleeding omental varices after traumatic injury in a cirrhotic patient presenting with hemoperitoneum and hemorrhagic shock.