Massive umbilical variceal bleeding in alcoholic cirrhosis and its long‐term successful treatment by rubber band ligation

Kim, Tae Yeob; Sohn, Joo Hyun; Kim, Hyun Soo; Park, Hwon Gyeom

doi:10.1111/1751-2980.12073

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…The management of bleeding umbilical varices is similar to that of esophagogastric variceal bleeds like clinical assessment, hemodynamic stabilization, antibiotics, and vasoactive agents like octreotide or terlipressin. Other therapeutic options available for controlling bleeding umbilical varices include simple suture ligation of varices and band ligation [ 7 ]. Simple suture ligation of umbilical varices over the skin is always only a temporary measure; a definitive procedure should accompany, given high chances for rebleeding.…”

Section: Discussionmentioning

confidence: 99%

Omphalic Bleed

Kumar¹,

Tajudeen²

2021

Cureus

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Portosystemic collateralization is usually seen in patients with portal hypertension. Bleeding from the ectopic varices is reportedly rare. We present a case of a 55-year-old gentleman who presented with complaints of bleeding from the umbilicus. On examination, he was tachycardic, hypotensive, and in hypovolemic shock. Bleeding was suspected to be from the umbilical varices. Contrast-enhanced computed tomography of the abdomen with abdominal angiography revealed a cirrhotic liver with partial thrombosis of the portal vein with collaterals in the perigastric, lower esophageal, peripancreatic, splenic and mesenteric, umbilical and paraumbilical collaterals with recanalization of the umbilical vein. The bleeder was identified to be the collateral at the umbilical region from the superior mesenteric vein. The patient was treated with a Doppler-guided injection of a sclerosant into the collateral, thereby achieving successful hemostasis.

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Section: Discussionmentioning

confidence: 99%