Rescue therapy for bleeding ectopic ileal varices with a transjugular intrahepatic portosystemic shunt and antegrade variceal embolization

Portal hypertension, a known complication of liver cirrhosis, typically leads to variceal bleeding in the esophagus and stomach.However, ectopic varices can also occur outside the gastroesophageal region and may present with life-threatening massive bleeding.We report a case of bleeding ileal ectopic varices in a patient with cirrhosis that were not detected during routine endoscopy.These varices were ultimately diagnosed with the aid of abdominal computed tomography.A transjugular intrahepatic portosystemic shunt (TIPS) was created to decrease portal pressure, and the TIPS tract was then used to selectively embolize the bleeding ectopic ileal varices.