title: Successful treatment of a bleeding umbilical varix by percutaneous umbilical vein embolization with sclerotherapy.
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.
authors: Department of Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT 06520, USA. david.assis@yale.edu
authors: David N
authors: DN
authors: Assis
authors: Jeffrey
authors: J
authors: Pollak
authors: Michael L
authors: ML
authors: Schilsky
authors: Sukru
authors: S
authors: Emre
mesh_terms: D004621:Embolization, Therapeutic / Q000379:methods; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000473:pathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015911:Sclerotherapy; D016896:Treatment Outcome; D014471:Umbilical Veins / Q000473:pathology; D014472:Umbilicus / Q000098:blood supply* / Q000473:pathology; D014648:Varicose Veins / Q000150:complications / Q000209:etiology / Q000628:therapy*