Transjugular intrahepatic portosystemic shunt in cirrhosis: An exhaustive critical update

Figure 4 Ectopic umbilical variceal bleeding controlled using TIPS procedure and adjuvant percutaneous intravariceal glue injection. A: The patient with cirrhosis and portal hypertension presented with spontaneous blood soakage of clothes associated with painless spurting of blood from umbilical region; B: Contrast imaging of abdomen revealed large umbilical varix with extracutaneous component; C: The umbilical varix supply was from the splenic vein; D and E: Fluroscopy guided transjugular intrahepatic portosystemc shunt placement, shunt embolization with multiple coils followed by percutaneous glue injection for variceal obliteration was performed; F: Complete resolution of the variceal complex was noted clinically post transjugular intrahepatic portosystemc shunt procedure.