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...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2022-05-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2021.0115 |
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| _version_ | 1849698744754241536 |
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| author | Dolly Patel Rucha Borkhetaria Victoria Motz Shandiz Shahbazi Thomas R. Riley |
| author_facet | Dolly Patel Rucha Borkhetaria Victoria Motz Shandiz Shahbazi Thomas R. Riley |
| author_sort | Dolly Patel |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-014909f845f941b7910697ae12ad9cf6 |
| institution | DOAJ |
| issn | 2767-7664 |
| language | English |
| publishDate | 2022-05-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-014909f845f941b7910697ae12ad9cf62025-08-20T03:18:49ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-05-011310.7326/aimcc.2021.0115Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With CirrhosisDolly Patel0Rucha Borkhetaria1Victoria Motz2Shandiz Shahbazi3Thomas R. Riley41Penn State University College of Medicine, Hershey, Pennsylvania1Penn State University College of Medicine, Hershey, Pennsylvania2Department of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Penn State University College of Medicine, Hershey, Pennsylvania3Division of Gastroenterology and Hepatology, Department of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Penn State University College of Medicine, Hershey, Pennsylvania3Division of Gastroenterology and Hepatology, Department of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Penn State University College of Medicine, Hershey, PennsylvaniaEctopic 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.https://www.acpjournals.org/doi/10.7326/aimcc.2021.0115 |
| spellingShingle | Dolly Patel Rucha Borkhetaria Victoria Motz Shandiz Shahbazi Thomas R. Riley Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis Annals of Internal Medicine: Clinical Cases |
| title | Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis |
| title_full | Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis |
| title_fullStr | Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis |
| title_full_unstemmed | Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis |
| title_short | Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis |
| title_sort | spontaneous ectopic paraumbilical variceal bleeding in a patient with cirrhosis |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2021.0115 |
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