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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Mar 18, 2026; 16(1): 110910
Published online Mar 18, 2026. doi: 10.5500/wjt.v16.i1.110910
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, 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
Revised: August 12, 2025
Accepted: November 11, 2025
Published online: March 18, 2026
Processing time: 210 Days and 13.1 Hours
Core Tip
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.