Van Wijngaarden P, Van der Wiel H E, Tetteroo G W, Bode W A
Department of Internal Medicine, Ijsselland Hospital, Capelle a/d Ijssel, The Netherlands.
Neth J Med. 1997 Nov;51(5):187-91. doi: 10.1016/s0300-2977(97)00062-4.
We report a patient presenting with melena. Endoscopic examination showed gastric fundal varices as well as colonic varices. The latter is rarely encountered and is usually associated with portal hypertension. On angiography there appeared to be a splenic vein thrombosis which is only reported once earlier as a cause of colonic varices. A short review of the literature concerning colonic varices is added.
我们报告了一名出现黑便的患者。内镜检查显示胃底静脉曲张以及结肠静脉曲张。后者很少见,通常与门静脉高压有关。血管造影显示存在脾静脉血栓形成,此前仅有一次报告称其为结肠静脉曲张的病因。本文还对有关结肠静脉曲张的文献进行了简要综述。