Currier EE, Won CY, Parraga X, Lee KS, Saberi B. Hemoperitoneum from omental variceal bleed resulting in first documented successful liver transplant: A case report. World J Transplant 2026; 16(1): 110910 [DOI: 10.5500/wjt.v16.i1.110910]
Corresponding Author of This Article
Emily E Currier, MD, Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02115, United States. ecurrie2@bidmc.harvard.edu
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Gastroenterology & Hepatology
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Case Report
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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/
Mar 18, 2026 (publication date) through Jan 14, 2026
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World Journal of Transplantation
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2220-3230
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Currier EE, Won CY, Parraga X, Lee KS, Saberi B. Hemoperitoneum from omental variceal bleed resulting in first documented successful liver transplant: A case report. World J Transplant 2026; 16(1): 110910 [DOI: 10.5500/wjt.v16.i1.110910]
World J Transplant. Mar 18, 2026; 16(1): 110910 Published online Mar 18, 2026. doi: 10.5500/wjt.v16.i1.110910
Hemoperitoneum from omental variceal bleed resulting in first documented successful liver transplant: A case report
Emily E Currier, Cindy Y Won, Ximena Parraga, Karen S Lee, Behnam Saberi
Emily E Currier, Ximena Parraga, Behnam Saberi, Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, MA 02115, United States
Cindy Y Won, Department of Internal Medicine, Harvard Medical School, Boston, MA 02115, United States
Karen S Lee, Division of Radiology, Beth Israel Deaconess Med Center, Boston, MA 02115, United States
Author contributions: Currier EE was the primary author and led research, manuscript creation, and editing; Won CY and Parraga X assisted with manuscript editing; Lee KS served as a radiology consultant and obtained/Labeled radiographic figures; Saberi B oversaw the manuscript creation, editing, and expert opinion.
Informed consent statement: Informed consent from the patient described in the case was obtained.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Emily E Currier, MD, Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02115, United States. ecurrie2@bidmc.harvard.edu
Received: June 18, 2025 Revised: August 12, 2025 Accepted: November 11, 2025 Published online: March 18, 2026 Processing time: 210 Days and 13.1 Hours
Abstract
BACKGROUND
While varices and variceal bleeds are well-known and feared complications of advanced cirrhosis and portal hypertension, omental variceal bleed are a rare sequala even in patients with known esophageal or gastric varices. While rare, omental varices pose a risk for hemoperitoneum if ruptured, which is a life-threatening complication with high mortality rates despite surgical intervention.
CASE SUMMARY
This report reviews the case of a patient 36-year-old female with alcohol related cirrhosis decompensated by ascites, but no history of varices admitted for hemorrhagic shock from spontaneous rupture of omental varices requiring emergency surgery. She underwent the first documented successful orthotopic liver transplantation the same admission.
CONCLUSION
This case report and literature review stresses the importance of early consideration and identification of intraabdominal variceal sources in cirrhotic patients with refractory shock.
Core Tip: While varices and variceal bleeds are well-known and feared complications of advanced cirrhosis and portal hypertension, omental varices are a rare sequala even in patients with known esophageal or gastric varices. Omental varices pose a risk for hemoperitoneum if ruptured, which is a life-threatening complication with high mortality rates despite surgical intervention. This case report reviews the first documented case of successful liver transplantation after hemorrhagic shock secondary to omental variceal bleed.
