PMC7027175_01
CT showing sizeable umbilical varices (white arrowhead)
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Subsequent CT confirmed cirrhotic appearances of the liver with features of portal hypertension, recanalisation of the umbilical vein and varices measuring up to 2cm in diameter within an umbilical hernia (Figure 1 and 2).
Catheterisation of umbilical varices
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Subsequent CT confirmed cirrhotic appearances of the liver with features of portal hypertension, recanalisation of the umbilical vein and varices measuring up to 2cm in diameter within an umbilical hernia (Figure 1 and 2). A microcatheter was negotiated along this allowing coiling and fibrovein foam embolisation (Figure 2).
TIPSS insertion
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He remained haemodynamically stable and proceeded to TIPSS (Figure 3) which proved to be technically successful with the aid of CT fusion imaging (Figure 4).
CT guided fusion imaging
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He remained haemodynamically stable and proceeded to TIPSS (Figure 3) which proved to be technically successful with the aid of CT fusion imaging (Figure 4).