naa a22 4500 510813593 CHVBK 20180411083454.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12328-012-0349-7 doi (NATIONALLICENCE)springer-10.1007/s12328-012-0349-7 Spontaneous hemoperitoneum due to rupture of the paraumbilical vein successfully treated with balloon-occluded retrograde transvenous obliteration [Elektronische Daten] [Sho Kitagawa, Takahiro Sato, Katsu Yamazaki, Takumi Ohmura, Yoshiyasu Karino, Jouji Toyota, Takashi Hasegawa, Wataru Sakai, Ryo Morita] 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 20days after B-RTO and he experienced no further episodes of bleeding during the subsequent 6-month period. Springer Japan, 2012 Ruptured paraumbilical vein nationallicence Spontaneous hemoperitoneum nationallicence Intraperitoneal varices nationallicence Balloon-occluded retrograde transvenous obliteration nationallicence Portal hypertension nationallicence Kitagawa Sho Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut Sato Takahiro Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut Yamazaki Katsu Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut Ohmura Takumi Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut Karino Yoshiyasu Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut Toyota Jouji Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut Hasegawa Takashi Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan aut Sakai Wataru Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan aut Morita Ryo Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/1(2013-02-01), 75-79 1865-7257 6:1<75 2013 6 12328 https://doi.org/10.1007/s12328-012-0349-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-012-0349-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kitagawa Sho Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut NATIONALLICENCE 700 1- Sato Takahiro Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut NATIONALLICENCE 700 1- Yamazaki Katsu Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut NATIONALLICENCE 700 1- Ohmura Takumi Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut NATIONALLICENCE 700 1- Karino Yoshiyasu Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut NATIONALLICENCE 700 1- Toyota Jouji Department of Gastroenterology, Sapporo Kosei General Hospital, Kita 3 Higashi 8, Chuo-ku, 060-0033, Sapporo, Japan aut NATIONALLICENCE 700 1- Hasegawa Takashi Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan aut NATIONALLICENCE 700 1- Sakai Wataru Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan aut NATIONALLICENCE 700 1- Morita Ryo Department of Radiology, Sapporo Kosei General Hospital, Sapporo, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/1(2013-02-01), 75-79 1865-7257 6:1<75 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer