Embolization of rectal varices via a paraumbilical vein with an abdominal wall approach in a patient with massive ascites.

摘要

The standard treatment for rectal varices has not been established, as serious rectal varices causing massive hemorrhage are rare. Previously reported treatments for the varices include endoscopic sclerotherapy, transjuglar intravenous portosystemic shunt (TIPS) placement to decrease the portal venous pressure (1), and embolization with a transhepatic (2) or TIPS approach (3). Herein, we report on a patient with rectal variceal bleeding that was controlled with embolization via the paraumbilical vein (PUV).