Intraabdominal Hemorrhage from Ruptured Ectopic Varices Treated by Antegrade Embolization via a Recanalized Paraumbilical Vein

  • Genki FukumotoEmail author
  • Hiroyuki Kimura
  • Mitsunori Kanagaki
  • Shojiro Oka
  • Hiroki Tanaka
  • Yang Wang
  • Hiroaki Tanaka
  • Yuki Yamauchi
  • Toshiyuki Kimura
Case Report


A 49-year-old man with alcoholic liver cirrhosis was admitted to our hospital with abdominal pain. Contrast-enhanced CT demonstrated massive hemorrhagic ascites and ectopic varices fed by right colic and ileocolic veins. The varices were treated with selective embolization via a recanalized paraumbilical vein using N-butyl cyanoacrylate. Currently, no complications and rebleeding have occurred for 7 months. Antegrade embolization via a recanalized paraumbilical vein is feasible and less-invasive in a patient with massive ascites. Flow reduction may be effective for intraabdominal hemorrhage from ruptured ectopic varices.

Level of Evidence

Level 5, case report.


Intraabdominal hemorrhage Ectopic varices Embolization Paraumbilical vein N-Butyl cyanoacrylate 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Informed Consent

Informed consent was obtained from the patient.

Consent for Publication

Consent for publication was obtained for the patient’s data included in the case report.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2019

Authors and Affiliations

  1. 1.Department of Diagnostic RadiologyHyogo Prefectural Amagasaki General Medical CenterAmagasakiJapan
  2. 2.Department of Gastroenterology and HepatologyHyogo Prefectural Amagasaki General Medical CenterAmagasakiJapan

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