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脐部出血——肝硬化的一种罕见并发症。

Umbilical haemorrhage--an unusual complication of cirrhosis.

作者信息

Douglas J G

出版信息

Postgrad Med J. 1981 Jul;57(669):461-2. doi: 10.1136/pgmj.57.669.461.

DOI:10.1136/pgmj.57.669.461
PMID:7312746
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2424951/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c72/2424951/e8449af1a56e/postmedj00223-0057-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c72/2424951/e8449af1a56e/postmedj00223-0057-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c72/2424951/e8449af1a56e/postmedj00223-0057-a.jpg

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本文引用的文献

1
Varices of cecum as an unusual cause of gastrointestinal bleeding.盲肠静脉曲张作为胃肠道出血的罕见原因。
Gastroenterology. 1957 Oct;33(4):637-40.
2
Portal hypertension with bleeding vaginal varices.门静脉高压伴阴道静脉曲张出血
Ann Intern Med. 1967 Apr;66(4):756-9. doi: 10.7326/0003-4819-66-4-756.
3
Ruptured mesenteric varix in cirrhosis--unusual cause for hemoperitoneum.肝硬化患者肠系膜静脉曲张破裂——腹腔积血的罕见原因。
腹腔镜治疗一名“Child's A级”肝硬化患者因脐旁静脉再通导致脐静脉曲张大量自发性外部出血
J Minim Access Surg. 2012 Apr;8(2):54-6. doi: 10.4103/0972-9941.95536.
N Engl J Med. 1968 Jan 11;278(2):97-8. doi: 10.1056/NEJM196801112780208.