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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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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
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author Masood, Irfan
Bradley, Megan
Cavazos-Escobar, Emilio
Patel, Shivam Bhavin
Wong, Brian Stephen
author_facet Masood, Irfan
Bradley, Megan
Cavazos-Escobar, Emilio
Patel, Shivam Bhavin
Wong, Brian Stephen
author_sort Masood, Irfan
collection PubMed
description 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.
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spelling pubmed-103331142023-07-12 Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization Masood, Irfan Bradley, Megan Cavazos-Escobar, Emilio Patel, Shivam Bhavin Wong, Brian Stephen Radiol Case Rep Case Report 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. Elsevier 2023-06-20 /pmc/articles/PMC10333114/ /pubmed/37441452 http://dx.doi.org/10.1016/j.radcr.2023.06.011 Text en © 2023 Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Masood, Irfan
Bradley, Megan
Cavazos-Escobar, Emilio
Patel, Shivam Bhavin
Wong, Brian Stephen
Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization
title Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization
title_full Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization
title_fullStr Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization
title_full_unstemmed Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization
title_short Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization
title_sort traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (tips) and embolization
topic Case Report
url 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
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