异位静脉曲张：门静脉高压患者胃肠道出血的潜在原因。
Ectopic varices: a potential cause of gastrointestinal bleeding in patients with portal hypertension.
作者信息
Bhavsar Indira, Rooney Anthony W, Corning Brooke, Shah Neeral L
机构信息
Department of Medicine, University of Virginia, Charlottesville, Virginia, USA.
Department of Gastroenterology and Hepatology, University of Virginia, Charlottesville, Virginia, USA.
出版信息
BMJ Case Rep. 2018 Jun 15;2018:bcr-2018-225031. doi: 10.1136/bcr-2018-225031.
Abstract
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.
摘要
一名新诊断出患有肝硬化的53岁女性反复出现胃肠道出血，导致症状性贫血。她接受了常规诊断性内镜检查，但未明确出血病因的部位。最终，由于潜在的高门静脉压力，她被发现小肠存在异位静脉曲张。她接受了经颈静脉肝内门体分流术以减轻门静脉系统压力，出血得到缓解。
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