Edula RG, Qureshi K, Khallafi H. Hemorrhagic ascites from spontaneous ectopic mesenteric varices rupture in NASH induced cirrhosis and successful outcome: A case report. World J Gastroenterol 2014; 20(25): 8292-8297 [PMID: 25009406 DOI: 10.3748/wjg.v20.i25.8292]
Corresponding Author of This Article
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
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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.
