Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis

Ectopic variceal hemorrhage is a rare sequela of portal hypertension, accounting for 5% of variceal bleeding events. Although mortality rates are high for this condition, there is no established management protocol. We present a patient case of spontaneous external hemorrhage from an ectopic paraumb...

Full description

Saved in:
Bibliographic Details
Main Authors: Dolly Patel, Rucha Borkhetaria, Victoria Motz, Shandiz Shahbazi, Thomas R. Riley
Format: Article
Language:English
Published: American College of Physicians 2022-05-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2021.0115
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Ectopic variceal hemorrhage is a rare sequela of portal hypertension, accounting for 5% of variceal bleeding events. Although mortality rates are high for this condition, there is no established management protocol. We present a patient case of spontaneous external hemorrhage from an ectopic paraumbilical varicosity in the setting of portal hypertension secondary to decompensated alcoholic cirrhosis that was treated effectively with transjugular intrahepatic portosystemic shunt placement.
ISSN:2767-7664