{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T11:10:09Z","timestamp":1751281809302,"version":"3.41.0"},"reference-count":15,"publisher":"Universa BV","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Ectopic varices may develop anywhere in the abdomen except in the cardioesophageal junction and cause only 5% of all variceal bleeding. Considering the low prevalence of this disease, management is challenging and low-evidence based. By means of a case report, we reviewed literature on the treatment of ectopic varices using TIPS (Transjugular Intrahepatic Portosystemic Shunt).\n\nCase presentation: A 65-year old patient presented to the emergency department with massive hematochezia and haemorrhagic shock. A CT angiography reported liver cirrhosis, a portal vein thrombosis (PVT) and colonic varices without active bleeding. The patient was transferred to the intensive care unit where colonoscopy confirmed the presence of ascending colonic varices with a red whale sign. He successfully underwent a TIPS placement and was discharged after five days from the hospital.\n\nConclusion: In this case, TIPS placement proved to be an effective treatment for ectopic variceal bleeding.<\/jats:p>","DOI":"10.51821\/88.1.13326","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T10:48:23Z","timestamp":1751280503000},"page":"199","source":"Crossref","is-referenced-by-count":0,"title":["A case report on use of TIPS for ectopic variceal bleeding"],"prefix":"10.51821","volume":"88","author":[{"given":"E","family":"Brusselle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Van Ongeval","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Pauwels","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Geerts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27062","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"SAAD WEA., LIPPERT A., SAAD NE., CALDWELL S. Ectopic varices: anatomical classification, hemodynamic classification, and hemodynamic- based management. Techniques in vascular and interventional radiology., 2013; 16(2): 158-75.","DOI":"10.1053\/j.tvir.2013.02.004"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"VIDAL V., JOLY L., PERREAULT P., BOUCHARD L., LAFORTUNE M., POMIER-LAYRARGUES G. Usefulness of transjugular intrahepatic portosystemic shunt in the management of bleeding ectopic varices in cirrhotic patients. Cardiovascular and interventional radiology., 2006; 29(2): 216-9.","DOI":"10.1007\/s00270-004-0346-4"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"WATANABE N., TOYONAGA A., KOJIMA S., TAKASHIMIZU S., OHO K., KOKUBU S., et al. Current status of ectopic varices in Japan: Results of a survey by the Japan Society for Portal Hypertension. Hepatology Research., 2010; 40(8): 763-76.","DOI":"10.1111\/j.1872-034X.2010.00690.x"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"JALAN R., SALIBA F., PAVESI M., AMOROS A., MOREAU R., GINESP., et al. Development and validation of a prognostic score to predict mortality in patients with acute-on-chronic liver failure. Journal of Hepatology., 2014; 61(5): 1038-47.","DOI":"10.1016\/j.jhep.2014.06.012"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"SMITHLAING G., SCOTT J., LONG RG., DICK R., SHERLOCK S. Role of percutaneous trans-hepatic obliteration of varices in the management of hemorrhage from gastro-esophageal varices . Gastroenterology., 1981; 80(5): 1031-6.","DOI":"10.1016\/0016-5085(81)90077-9"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"OEY RC., DE WIT K., MOELKER A., ATALIK T., VAN DELDEN OM., MALEUX G. et al. Variable efficacy of TIPSS in the management of ectopic variceal bleeding: a multicentre retrospective study. Alimentary Pharmacology & Therapeutics., 2018; 48(9): 975-83.","DOI":"10.1111\/apt.14947"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"KOCHAR N., TRIPATHI D., MCAVOY NC., IRELAND H., REDHEADDN., HAYES PC. Bleeding ectopic varices in cirrhosis: the role of transjugular intrahepatic portosystemic stent shunts. Alimentary Pharmacology & Therapeutics., 2008; 28(3): 294-303.","DOI":"10.1111\/j.1365-2036.2008.03719.x"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"RAJESH S., GEORGE T., PHILIPS CA., AHAMED R., KUMBAR S., MOHAN N., et al. Transjugular intrahepatic portosystemic shunt in cirrhosis: An exhaustive critical update. World Journal of Gastroenterology., 2020; 26(37): 5561-96.","DOI":"10.3748\/wjg.v26.i37.5561"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"STRUNK H., MARINOVA M. Transjugular Intrahepatic Portosystemic Shunt (TIPS): Pathophysiologic Basics, Actual Indications and Results with Review of the Literature. Rofo-Fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren., 2018; 190(8): 701-11.","DOI":"10.1055\/a-0628-7347"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"BROUSSARD KA., ROCKEY DC. Bleeding ectopic varices: clinical presentation, natural history, and outcomes. Journal of Investigative Medicine., 2022; 70(5): 1280-4.","DOI":"10.1136\/jim-2021-002021"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"VANGELI M., PATCH D., TERRENI N., TILLBALLS J., WATKINSON A., DAVIES N., et al. Bleeding ectopic varices - treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolisation. Journal of Hepatology., 2004; 41(4): 560-6.","DOI":"10.1016\/j.jhep.2004.06.024"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"DE FRANCHIS R., BOSCH J., GARCIA-TSAO G., REIBERGER T., RIPOLL C., BRAVEO VIIF. Baveno VII - Renewing consensus in portal hypertension. Journal of Hepatology., 2022; 76(4): 959-74.","DOI":"10.1007\/978-3-031-08552-9"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"GARCIA-PAGAN JC., SAFFO S., MANDORFER M., GARCIA-TSAO G. Where does TIPS fit in the management of patients with cirrhosis? Jhep Reports., 2020; 2(4).","DOI":"10.1016\/j.jhepr.2020.100122"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"LUO XF., WANG Z., TSAUO JW., ZHOU BA., ZHANG HL., LI X. Advanced Cirrhosis Combined with Portal Vein Thrombosis: A Randomized Trial of TIPS versus Endoscopic Band Ligation Plus Propranolol for the Prevention of Recurrent Esophageal Variceal Bleeding. Radiology., 2015; 276(1): 286-93.","DOI":"10.1148\/radiol.15141252"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"LV Y., QI XS., HE CY., WANG ZY., YIN ZX., NIU J. et al. Covered TIPS versus endoscopic band ligation plus propranolol for the prevention of variceal rebleeding in cirrhotic patients with portal vein thrombosis: a randomised controlled trial. Gut., 2018; 67(12): 2156-68.","DOI":"10.1136\/gutjnl-2017-314634"}],"container-title":["Acta Gastro Enterologica Belgica"],"original-title":[],"deposited":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T10:48:25Z","timestamp":1751280505000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ageb.be\/ageb-journal\/ageb-volume\/ageb-article\/2241\/A%20case%20report%20on%20use%20of%20TIPS%20for%20ectopic%20variceal%20bleeding\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,27]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,6,27]]}},"URL":"https:\/\/doi.org\/10.51821\/88.1.13326","relation":{},"ISSN":["1784-3227","1784-3227"],"issn-type":[{"value":"1784-3227","type":"print"},{"value":"1784-3227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,27]]}}}