Douglas J G
Postgrad Med J. 1981 Jul;57(669):461-2. doi: 10.1136/pgmj.57.669.461.
A 59-year-old woman known to have micronodular cirrhosis presented with haemorrhage from the umbilicus. She eventually required exomphalectomy at which a huge patent umbilical vein was found and ligated. Selective coeliac and superior mesenteric angiography with late phase films confirmed a large umbilical vein filling from the left branch of the portal vein. So far as the author knows, umbilical haemorrhage as a complication of cirrhosis has never previously been reported.
一名已知患有小结节性肝硬化的59岁女性出现脐部出血。她最终接受了脐切除术,术中发现并结扎了一条粗大的脐静脉。选择性腹腔干和肠系膜上动脉造影及延迟期影像证实有一条粗大的脐静脉由门静脉左支供血。据作者所知,肝硬化并发症导致脐部出血此前从未有过报道。