Watanabe Masaaki, Shibuya Akitaka, Kitamura Yumiko, Takigawa Masakazu, Matsunaga Keiji, Nishimaki Hiroshi, Sasaki Mayumi, Isobe Yoshinori, Kokubu Shigehiro, Soma Kazui, Saigenji Katsunori
Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 228-8555, Japan.
Abdom Imaging. 2008 May-Jun;33(3):324-7. doi: 10.1007/s00261-007-9248-7.
Intraperitoneal bleeding from ruptured ectopic varices is a rare and fatal complication in patients with portal hypertension. Although laparotomy with high mortality is performed, it is difficult to detect correct bleeding site and save the patient. This is probably the first case report of rupture from left gastric vein revealed by transjugular intrahepatic portosystemic shunt (TIPS). We propose the use of TIPS for diagnosing and treating intraperitoneal bleeding from ectopic varices.
