Cappell M S, Price J B
Dig Dis Sci. 1987 Apr;32(4):422-7. doi: 10.1007/BF01296297.
Massive bleeding from jejunal varices in a young alcoholic with cirrhosis and portal hypertension ceased following a portocaval shunt. Although rare, bleeding from small or large bowel varices has a high mortality. In 62 cases, small or large bowel varices are almost always associated with a predisposing condition including previous abdominal surgery and portal hypertension from cirrhosis or other causes. Hematochezia without hematemesis and nonbleeding esophageal varices generally occur. Angiography is the best diagnostic test.
一名患有肝硬化和门静脉高压的年轻酗酒者，空肠静脉曲张大量出血，在进行门腔分流术后出血停止。尽管罕见，但小肠或大肠静脉曲张出血的死亡率很高。在62例病例中，小肠或大肠静脉曲张几乎总是与易感因素相关，包括既往腹部手术以及由肝硬化或其他原因引起的门静脉高压。通常会出现无呕血的便血和不出血的食管静脉曲张。血管造影是最佳诊断检查。
