Int J Gastrointest Interv.  2024 Oct;13(4):141-143. 10.18528/ijgii240050.

Rescue therapy for bleeding ectopic ileal varices with a transjugular intrahepatic portosystemic shunt and antegrade variceal embolization

• Kumar S
• Khurana AK
• Batra A
• Khanna D

• KMID: 2560779
• DOI: http://doi.org/10.18528/ijgii240050

Abstract

Portal hypertension, a known complication of liver cirrhosis, typically leads to variceal bleeding in the esophagus and stomach. However, ectopic varices can also occur outside the gastroesophageal region and may present with life-threatening massive bleeding. We report a case of bleeding ileal ectopic varices in a patient with cirrhosis that were not detected during routine endoscopy. These varices were ultimately diagnosed with the aid of abdominal computed tomography. A transjugular intrahepatic portosystemic shunt (TIPS) was created to decrease portal pressure, and the TIPS tract was then used to selectively embolize the bleeding ectopic ileal varices.

Keyword

Hypertension, portal; Liver cirrhosis; Portasystemic shunt, transjugular intrahepatic