Life-Threatening Aberrant Omental Variceal Bleeding with Interventional Treatment: A Case Report.
Abstract
Ectopic varices resulting from portal hypertension can cause fatal bleeding. Intra-abdominal hemorrhage from omental varices is rare, and no previous reports have described a direct connection between the splenic and ovarian veins. We report a case of intra-abdominal hemorrhage caused by an omental varix in a 49-year-old women with liver cirrhosis. Because she was hemodynamically unstable, surgical treatment was not feasible; therefore, an interventional procedure was planned. The varices originated from the splenic vein and drained into the ovarian vein. Through percutaneous portal venous access, the varices were embolized using coils and histoacryl via the splenic vein. Variceal bleeding ceased after the procedure; however, the patient died of multi-organ failure due to hemorrhagic shock and cardiac arrest. Thus, in patients with liver cirrhosis, it is essential to consider potential intra-abdominal hemorrhage from ectopic varices and identify the associated vessels to ensure prompt interventional management.
Related
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BibTeX
@article{jo2026lifethreatening,
title = {{Life-Threatening Aberrant Omental Variceal Bleeding with Interventional Treatment: A Case Report.}},
author = {Jaemin Jo and Doo Ri Kim and In Chul Nam and Jeong Sub Lee and Jeong Jae Kim and Kyung Ryeol Lee and Guk Myung Choi},
journal = {Journal of the Korean Society of Radiology},
year = {2026},
month = sep,
doi = {10.3348/jksr.2025.0097},
url = {https://europepmc.org/article/MED/42903038},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Life-Threatening Aberrant Omental Variceal Bleeding with Interventional Treatment: A Case Report.
AU - Jaemin Jo
AU - Doo Ri Kim
AU - In Chul Nam
AU - Jeong Sub Lee
AU - Jeong Jae Kim
AU - Kyung Ryeol Lee
AU - Guk Myung Choi
PY - 2026
DA - 2026/09/22
JO - Journal of the Korean Society of Radiology
DO - 10.3348/jksr.2025.0097
UR - https://europepmc.org/article/MED/42903038
AB - Ectopic varices resulting from portal hypertension can cause fatal bleeding. Intra-abdominal hemorrhage from omental varices is rare, and no previous reports have described a direct connection between the splenic and ovarian veins. We report a case of intra-abdominal hemorrhage caused by an omental varix in a 49-year-old women with liver cirrhosis. Because she was hemodynamically unstable, surgical treatment was not feasible; therefore, an interventional procedure was planned. The varices originated from the splenic vein and drained into the ovarian vein. Through percutaneous portal venous access, the varices were embolized using coils and histoacryl via the splenic vein. Variceal bleeding ceased after the procedure; however, the patient died of multi-organ failure due to hemorrhagic shock and cardiac arrest. Thus, in patients with liver cirrhosis, it is essential to consider potential intra-abdominal hemorrhage from ectopic varices and identify the associated vessels to ensure prompt interventional management.
SN - 2951-0805
ER -