An unusual case of ectopic variceal bleeding treated with percutaneous inter- vention

Variceal bleeding is one of the important complica- tions of portal hypertension. Ectopic variceal bleeding is a rare condition and is approximately only % 1-5 of all variceal bleedings (1). Ectopic varices can bleed severely and bleeding origin could not be detected with endoscop- ic examinations. Ectopic varices have been reported to develop in various organs such as duodenum, colon, gall- bladder, uterus, vagina, urinary bladder, and peritoneum or at the sites of previous bowel surgery including stomas and trans-anastomotic porto-portal varices (2). However ileal varices between superficial varices on abdominal wall and mesenterica superior branch have not been known after cesarean operation. In our case ectopic varices were seen at cesarean section region which super- ficial venous collateral link to ileal varices due to portal hypertension. Our case also was successfully treated with percutaneous coil embolization and glue injection using venous approach.