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Spontaneous hemoperitoneum due to rupture of the paraumbilical vein successfully treated with balloon-occluded retrograde transvenous obliteration

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Abstract

Spontaneous hemoperitoneum is an uncommon condition, which may be critical even if treated appropriately. The paraumbilical vein is a portosystemic collateral vein that develops in patients with portal hypertension, and is rarely found to be a source of bleeding. Here we present a case report of spontaneous hemoperitoneum due to rupture of the paraumbilical vein successfully treated with balloon-occluded retrograde transvenous obliteration (B-RTO). A 69-year-old man with cirrhosis due to nonalcoholic steatohepatitis was admitted to our hospital with abdominal distention and pain. Computed tomography revealed hemoperitoneum with a dilated paraumbilical vein, and rupture of the paraumbilical vein was diagnosed to be the cause of anemia. B-RTO was performed via the left femoral vein with upstream embolization using microcoils, and thrombosis of the paraumbilical vein was confirmed after B-RTO. The patient was discharged without complications 20 days after B-RTO and he experienced no further episodes of bleeding during the subsequent 6-month period.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, Sapporo, 060-0033, Japan

    Sho Kitagawa, Takahiro Sato, Katsu Yamazaki, Takumi Ohmura, Yoshiyasu Karino & Jouji Toyota

  2. Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan

    Takashi Hasegawa, Wataru Sakai & Ryo Morita

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  1. Sho Kitagawa
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  2. Takahiro Sato
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  3. Katsu Yamazaki
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  4. Takumi Ohmura
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  5. Yoshiyasu Karino
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  6. Jouji Toyota
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  7. Takashi Hasegawa
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  8. Wataru Sakai
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  9. Ryo Morita
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Correspondence to Sho Kitagawa.

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Kitagawa, S., Sato, T., Yamazaki, K. et al. Spontaneous hemoperitoneum due to rupture of the paraumbilical vein successfully treated with balloon-occluded retrograde transvenous obliteration. Clin J Gastroenterol 6, 75–79 (2013). https://doi.org/10.1007/s12328-012-0349-7

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  • DOI: https://doi.org/10.1007/s12328-012-0349-7

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