A case report on use of TIPS for ectopic variceal bleeding
| Journal | Volume 88 - 2025 |
| Issue | Fasc.2 - Case reports |
| Author(s) | E. Brusselle 1, J. Van Ongeval 2, W. Pauwels 2, A. Geerts 1 |
| Full article |
 PAGES 199-201 VIEW FREE PDF |
| DOI | 10.51821/88.1.13326 |
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Affiliations: (1) Department of Gastroenterology & Hepatology, University Hospital Ghent, Belgium
(2) Department of Gastroenterology & Hepatology, AZ Sint Lucas Ghent, Belgium |
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Background: Ectopic varices may develop anywhere in the abdomen except in the cardioesophageal junction and cause only 5% of all variceal bleeding. Considering the low prevalence of this disease, management is challenging and low-evidence based. By means of a case report, we reviewed literature on the treatment of ectopic varices using TIPS (Transjugular Intrahepatic Portosystemic Shunt). Case presentation: A 65-year old patient presented to the emergency department with massive hematochezia and haemorrhagic shock. A CT angiography reported liver cirrhosis, a portal vein thrombosis (PVT) and colonic varices without active bleeding. The patient was transferred to the intensive care unit where colonoscopy confirmed the presence of ascending colonic varices with a red whale sign. He successfully underwent a TIPS placement and was discharged after five days from the hospital. Conclusion: In this case, TIPS placement proved to be an effective treatment for ectopic variceal bleeding. Keywords: liver cirrhosis, ectopic variceal bleeding, TIPS, Portal Vein Thrombosis. |
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© Acta Gastro-Enterologica Belgica. |
