Percutaneous transabdominal plug-assisted antegrade and retrograde transvenous embolization for the treatment of ruptured paraumbilical varices with concurrent flood syndrome: A case report.

Sean Rogers, QuynhAnh Phan, Anita Krishnarao, Neil J Resnick, Ningcheng Peter Li

Abstract readCase Reports

In one paragraph

Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sean RogersDivision of Interventional Radiology, Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA, USA.

QuynhAnh PhanUniversity of Massachusetts Chan Medical School, Worcester, MA, USA.

Anita KrishnaraoDivision of Gastroenterology, Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, USA.

Neil J ResnickDivision of Interventional Radiology, Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA, USA.

Ningcheng Peter LiDivision of Interventional Radiology, Department of Radiology, University of Massachusetts Chan Medical School, Worcester, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ruptured paraumbilical varices and Flood syndrome (umbilical hernia rupture with ascites leakage) are both life-threatening conditions, each carrying >30% mortality. Co-occurrence of the 2 requires immediate portal decompression and variceal hemostasis for a chance of survival. This report presents a case of concurrent paraumbilical variceal rupture and Flood syndrome with massive leakage of ascites and blood in a 52-year-old male with alcohol-related cirrhosis. A strategy combining transjugular intrahepatic portosystemic shunt (TIPS) with direct percutaneous transvenous paraumbilical variceal embolization enabled immediate cessation of bleeding and eventual survival. Direct percutaneous transvenous access was the key to rapid hemostatic control, overcoming tortuous anatomy and difficult venous manipulation. This technique expands therapeutic options for complex ectopic varices and supports the safety of direct percutaneous access for portal interventions.

Indexed as

CirrhosisFlood syndromeParaumbilical variceal bleedingPortal hypertensionTIPS

Identifiers

PMID41480632

DOI10.1016/j.radcr.2025.11.033

PMCPMC12754390

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.