Case Report
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World J Gastroenterol. Jul 7, 2014; 20(25): 8292-8297
Published online Jul 7, 2014. doi: 10.3748/wjg.v20.i25.8292
Hemorrhagic ascites from spontaneous ectopic mesenteric varices rupture in NASH induced cirrhosis and successful outcome: A case report
Raja GR Edula, Kamran Qureshi, Hicham Khallafi
Raja GR Edula, Department of Medicine, Division of Gastroenterology and Hepatology, Rutgers New Jersey Medical School, Newark, NJ 07103, United States
Raja GR Edula, Kamran Qureshi, Hicham Khallafi, Department of Hepatology, Florida Hospital Transplant Center, Orlando, FL 32804, United States
Author contributions: Edula RGR designed and wrote the complete case report, discussion and revised the manuscript; Qureshi K and Khallafi H helped edit the manuscript and assisted in collecting the figures and vital case information.
Correspondence to: Raja GR Edula, MD, MRCP, Assistant Professor, Department of Medicine, Division of Gastroenterology and Hepatology, Rutgers New Jersey Medical School, 185 S Orange Avenue, MSB H-528, Newark, NJ 07103, United States. rre17@njms.rutgers.edu
Telephone: +1-973-9725252 Fax: +1-973-9723144
Received: January 25, 2013
Revised: March 2, 2014
Accepted: April 5, 2014
Published online: July 7, 2014
Processing time: 159 Days and 5.8 Hours
Core Tip

Core tip: Nonalcoholic steatohepatitis (NASH) related cirrhosis of the liver is an emerging disease. With the advent of new therapies for hepatitis C and the potential for cure, NASH will most likely be the leading cause of decompensated liver disease in the future. We present a rare case of hemorrhagic ascites from ectopic variceal rupture as the initial decompensating event in a young patient with a recent diagnosis of cirrhosis from NASH. A multidisciplinary, methodical treatment plan was undertaken, culminating in orthotopic liver transplantation and successful outcome. We briefly discuss presentation, diagnosis and management of ectopic variceal bleeding, which is not so commonly encountered in routine clinical practice in this case report.