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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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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. |
format | Online Article Text |
id | pubmed-10333114 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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