case_images: PMC7027175_01
case_images: CT showing sizeable umbilical varices (white arrowhead)
case_images: umj-89-01-40-g001.jpg
case_images: PMC7027175_01_umj-89-01-40-g001.jpg
case_images: f01
case_images: 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).
case_images: Catheterisation of umbilical varices
case_images: umj-89-01-40-g002.jpg
case_images: PMC7027175_01_umj-89-01-40-g002.jpg
case_images: f02
case_images: 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).
case_images: TIPSS insertion
case_images: umj-89-01-40-g003.jpg
case_images: PMC7027175_01_umj-89-01-40-g003.jpg
case_images: f03
case_images: 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).
case_images: CT guided fusion imaging
case_images: umj-89-01-40-g004.jpg
case_images: PMC7027175_01_umj-89-01-40-g004.jpg
case_images: f04
case_images: 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).