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经肝门静脉造影显示十二指肠静脉曲张出血。一例被误诊为十二指肠溃疡出血的病例报告。

Bleeding duodenal varices demonstrated by transhepatic portography. Report of a case misinterpreted as Bleeding duodenal Ulcer.

作者信息

Aagaard J, Burcharth F

出版信息

Acta Chir Scand. 1980;146(1):77-8.

PMID:6966458
Abstract

Bleeding duodenal varices are a rare complication of portal hypertension. Upper gastrointestinal bleeding from other sources than varices is common in patients with cirrhosis. Most often the bleeding is misinterpreted as bleeding from duodenal ulcer, and the diagnosis is first apparent during emergency operation. From our experience with a case of bleeding duodenal varices we suggest that the diagnostic procedure of choice is percutaneous transhepatic portography.

摘要

十二指肠静脉曲张出血是门静脉高压症的一种罕见并发症。肝硬化患者中,除静脉曲张外的其他原因导致的上消化道出血很常见。出血常常被误诊为十二指肠溃疡出血,诊断往往在急诊手术时才首次明确。根据我们处理一例十二指肠静脉曲张出血病例的经验,我们认为首选的诊断方法是经皮肝门静脉造影。

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