Fick T E, van Buuren H R, Huisman A M, Schreve R H, Terpstra O T
Neth J Surg. 1985 Dec;37(6):187-9.
A patient with anorectal varices is reported. Anorectal varices are a rare cause of rectal bleeding and are often erroneously diagnosed as bleeding hemorrhoids. However, the subcutaneous extension of the varices should alert the clinician. Although local treatment such as ligation of the varices has been advocated, in the presence of portal hypertension a more radical operation is recommended. A portosystemic shunt, preferably between the inferior mesenteric vein and the vena cava or renal vein, is then the treatment of choice.
本文报告了一例患有肛门直肠静脉曲张的患者。肛门直肠静脉曲张是直肠出血的罕见原因，常被误诊为出血性痔。然而，静脉曲张的皮下延伸应引起临床医生的警惕。尽管有人主张对静脉曲张进行诸如结扎等局部治疗，但在存在门静脉高压的情况下，建议采用更彻底的手术。此时，门体分流术，最好是在肠系膜下静脉与腔静脉或肾静脉之间进行分流，是首选的治疗方法。
