Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis

Spontaneous Ectopic Paraumbilical Variceal Bleeding in a Patient With Cirrhosis

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Ectopic variceal hemorrhage is a rare sequela of portal hypertension, accounting for 5% of variceal bleeding events.Although Eggshell Membrane mortality rates are high for this condition, there is no established management protocol.We present a patient case of spontaneous external hemorrhage from an ectopic paraumbilical varicosity in the setting of portal hypertension secondary to Bulbs decompensated alcoholic cirrhosis that was treated effectively with transjugular intrahepatic portosystemic shunt placement.