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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-09-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323003837 |
| _version_ | 1827895571637075968 |
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| author | Irfan Masood, MD Megan Bradley, BS Emilio Cavazos-Escobar, BS Shivam Bhavin Patel Brian Stephen Wong, MD |
| author_facet | Irfan Masood, MD Megan Bradley, BS Emilio Cavazos-Escobar, BS Shivam Bhavin Patel Brian Stephen Wong, MD |
| author_sort | Irfan Masood, MD |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-12T22:22:49Z |
| format | Article |
| id | doaj.art-9168c71bc5b142098d98ca82861930c5 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-12T22:22:49Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-9168c71bc5b142098d98ca82861930c52023-07-23T04:54:07ZengElsevierRadiology Case Reports1930-04332023-09-0118929782981Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolizationIrfan Masood, MD0Megan Bradley, BS1Emilio Cavazos-Escobar, BS2Shivam Bhavin Patel3Brian Stephen Wong, MD4Interventional Radiology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA; Corresponding author.University of Texas Medical Branch (UTMB) John Sealy School of Medicine, Galveston, TX, USAUniversity of Texas Medical Branch (UTMB) John Sealy School of Medicine, Galveston, TX, USATexas A&M School of Medicine, Bryan, TX, USAInterventional Radiology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USABleeding 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.http://www.sciencedirect.com/science/article/pii/S1930043323003837Ectopic varicesOmental varicesTIPSEmbolization |
| spellingShingle | Irfan Masood, MD Megan Bradley, BS Emilio Cavazos-Escobar, BS Shivam Bhavin Patel Brian Stephen Wong, MD Traumatic omental variceal rupture–treatment with transjugular portosystemic shunt (TIPS) and embolization Radiology Case Reports Ectopic varices Omental varices TIPS 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 | Ectopic varices Omental varices TIPS Embolization |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323003837 |
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