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

Irfan Masood; Megan Bradley; Emilio Cavazos-Escobar; Shivam Bhavin Patel; Brian Stephen Wong

doi:10.1016/j.radcr.2023.06.011

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

Irfan Masood, Megan Bradley, Emilio Cavazos-Escobar, Shivam Bhavin Patel, Brian Stephen Wong

Radiology

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Pages (from-to)	2978-2981
Number of pages	4
Journal	Radiology Case Reports
Volume	18
Issue number	9
DOIs	https://doi.org/10.1016/j.radcr.2023.06.011
State	Published - Sep 2023

Keywords

Ectopic varices
Embolization
Omental varices
TIPS

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1016/j.radcr.2023.06.011

Cite this

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title = "Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization",

abstract = "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.",

keywords = "Ectopic varices, Embolization, Omental varices, TIPS",

author = "Irfan Masood and Megan Bradley and Emilio Cavazos-Escobar and Patel, {Shivam Bhavin} and Wong, {Brian Stephen}",

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T1 - Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization

AU - Masood, Irfan

AU - Bradley, Megan

AU - Cavazos-Escobar, Emilio

AU - Patel, Shivam Bhavin

AU - Wong, Brian Stephen

PY - 2023/9

Y1 - 2023/9

N2 - 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.

AB - 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.

KW - Ectopic varices

KW - Embolization

KW - Omental varices

KW - TIPS

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

Abstract

Keywords

ASJC Scopus subject areas

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