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J Clin Gastroenterol. 2012 Feb;46(2):115-8. doi: 10.1097/MCG.0b013e31822b7f9a.

Successful treatment of a bleeding umbilical varix by percutaneous umbilical vein embolization with sclerotherapy.

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1
Department of Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT 06520, USA. david.assis@yale.edu

Abstract

Bleeding caused by ectopic varices is an uncommon but important and life-threatening complication of portal hypertension. Spontaneous external hemorrhage from a recanalized umbilical varix is an extremely rare source of ectopic variceal bleeding. We report on the acute presentation of a patient with a bleeding umbilical varix and successful treatment with percutaneous umbilical vein embolization with sclerotherapy. This previously unreported technique is described, which adds a new therapeutic option for the management of this challenging clinical dilemma. A discussion on the recognition and management of ectopic varices is also provided.

PMID:
21897280
DOI:
10.1097/MCG.0b013e31822b7f9a
[Indexed for MEDLINE]
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