Hemoperitoneum due to Ruptured Paraumbilical Vein in a Cirrhotic Patient with Portal Hypertension: Treatment by means of Coil Embolization.
10.3348/jkrs.2000.42.5.751
- Author:
Jong Myeong LEE
1
;
Hyung Lyul KIM
;
Young Hwan LEE
;
So Hyun LEE
;
Jong Kun KIM
Author Information
1. Department of Radiology, Taejon Sun General Hospital.
- Publication Type:Original Article
- Keywords:
Peritoneum, hemorrhage;
Portography;
Hypertension, portal
- MeSH:
Embolization, Therapeutic*;
Hemoperitoneum*;
Humans;
Hypertension, Portal*;
Iliac Vein;
Liver Cirrhosis;
Portal Vein;
Portography;
Rupture;
Ultrasonography;
Varicose Veins;
Veins*
- From:Journal of the Korean Radiological Society
2000;42(5):751-756
- CountryRepublic of Korea
- Language:English
-
Abstract:
The paraumbilical vein is one of the anastomotic channels between the portal and systemic circulatory systems, and rupture of the intra-abdominal varix is an unusual complication of portal hypertension that can lead to life-threatening hemoperitoneum. We experienced a case of hemoperitoneum due to a ruptured paraumbilical vein revealed by ultrasonography (US), computed tomography (CT) and percutaneous transhepatic portography. The last mentioned demonstrated a dilated paraumbilical ve i n draining two branches of the left portal vein into the right external iliac vein, and we performed coil embolization at the site at which the presumed site of paraumbilical vein was presumed to cause hemoperitoneum. We describe this unusual case of hemoperitoneum due to a ruptured paraumbilical vein in a known liver cirrhosis patient in whom portal hypertension was treated by means of coil embolization.
