Ectopic varices: a potential cause of gastrointestinal bleeding in patients with portal hypertension.

Szczegóły
Abstrakt

Tytuł:: Ectopic varices: a potential cause of gastrointestinal bleeding in patients with portal hypertension.
Autorzy:: Bhavsar I; Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Rooney AW; Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Corning B; Department of Gastroenterology and Hepatology, University of Virginia, Charlottesville, Virginia, USA.
Shah NL; Department of Gastroenterology and Hepatology, University of Virginia, Charlottesville, Virginia, USA.
Źródło:: BMJ case reports [BMJ Case Rep] 2018 Jun 15; Vol. 2018. Date of Electronic Publication: 2018 Jun 15.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Esophageal and Gastric Varices/*diagnosis
Gastrointestinal Hemorrhage/*etiology
Hypertension, Portal/*diagnosis
Esophageal and Gastric Varices/surgery ; Female ; Gastrointestinal Hemorrhage/surgery ; Humans ; Hypertension, Portal/etiology ; Liver Cirrhosis, Alcoholic/complications ; Middle Aged ; Portasystemic Shunt, Transjugular Intrahepatic ; Treatment Outcome
References:: Semin Intervent Radiol. 2011 Sep;28(3):314-24. (PMID: 22942549)
Gastrointest Endosc. 2005 Oct;62(4):529-34. (PMID: 16185966)
Dig Dis Sci. 2006 Jul;51(7):1169-74. (PMID: 16944004)
Tech Vasc Interv Radiol. 2013 Jun;16(2):158-75. (PMID: 23830673)
World J Gastrointest Endosc. 2014 Oct 16;6(10):488-92. (PMID: 25324920)
Gastrointest Endosc. 2002 Oct;56(4):522-8. (PMID: 12297768)
J Nippon Med Sch. 2008 Feb;75(1):36-40. (PMID: 18360078)
QJM. 2012 Apr;105(4):355-8. (PMID: 21382928)
Dig Dis Sci. 2013 May;58(5):1390-6. (PMID: 23247799)
Radiology. 1994 Apr;191(1):183-7. (PMID: 8134568)
N Engl J Med. 2010 Mar 4;362(9):823-32. (PMID: 20200386)
Contributed Indexing:: Keywords: liver disease; portal hypertension; varices
Entry Date(s):: Date Created: 20180618 Date Completed: 20181107 Latest Revision: 20200615
Update Code:: 20240105
PubMed Central ID:: PMC6011545
DOI:: 10.1136/bcr-2018-225031
PMID:: 29909391
: Czasopismo naukowe

A newly diagnosed 53-year-old woman with cirrhosis has repeated gastrointestinal bleeding with resulting symptomatic anaemia. She underwent routine diagnostic endoscopic evaluation without localisation of the aetiology of her bleed. Ultimately, she was found to have ectopic varices in the small bowel as a result of underlying high portal pressures. She underwent transjugular intrahepatic portosystemic shunt for portal system decompression with resolution in her bleeding.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)

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