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Combination of High Ligation and Intraoperative Embolization Using Polidocanol for Treatment of Varicoceles
Published on: December 22, 2023
Successful treatment of a bleeding umbilical varix by percutaneous umbilical vein embolization with sclerotherapy
David N Assis1, Jeffrey Pollak, Michael L Schilsky
1Department of Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT 06520, USA. david.assis@yale.edu
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.
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