Tags

Type your tag names separated by a space and hit enter

[Ectopic varices, a rare cause of digestive hemorrhage].
Schweiz Med Wochenschr Suppl. 1996; 79:70S-2S.SM

Abstract

From January 1986 to September 1995, 4 patients were hospitalized in our ward for gastrointestinal bleeding from ectopic varices. The patients were all female, aged 30 to 65 years. The etiology of portal hypertension in these patients was alcoholic cirrhosis, cirrhosis in Wilson's disease and previous alveolar echinococcosis treated by right hepatectomy, complicated by post-operative portal thrombosis. Clinical presentation in all 4 cases was lower gastrointestinal bleeding. Diagnosis was by emergency arteriography in 3 cases; no source was found in one case with recurrent hemorrhage. The 4 patients had a history of abdominal surgery. The location of the ectopic varices was small bowel and cecum. 3 patients were treated surgically: right colectomy, partial small bowel resection and porto-caval shunt with complete lysis of adhesions. One patient was treated conservatively with emergency placement of a TIPS (transjugular intrahepatic porto-systemic shunt), with simultaneous embolization of cecal varices. Upon laparotomy, all 3 surgical cases presented ectopic varices in post-operative adhesions. In conclusion, in a patient with portal hypertension presenting with lower gastrointestinal bleeding, hemorrhage from ectopic varices should be kept in mind and investigated by arteriography. A history of abdominal surgery seems to be a predisposing factor in development of ectopic varices by adhesion formation.

Authors+Show Affiliations

Département de chirurgie, Hôpital cantonal universitaire de Genève.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

fre

PubMed ID

8701265

Citation

Bühler, L, et al. "[Ectopic Varices, a Rare Cause of Digestive Hemorrhage]." Schweizerische Medizinische Wochenschrift. Supplementum, vol. 79, 1996, 70S-2S.
Bühler L, Tamigneaux I, Giostra E, et al. [Ectopic varices, a rare cause of digestive hemorrhage]. Schweiz Med Wochenschr Suppl. 1996;79:70S-2S.
Bühler, L., Tamigneaux, I., Giostra, E., Grossholz, M., Savioz, D., Morel, P., & Mentha, G. (1996). [Ectopic varices, a rare cause of digestive hemorrhage]. Schweizerische Medizinische Wochenschrift. Supplementum, 79, 70S-2S.
Bühler L, et al. [Ectopic Varices, a Rare Cause of Digestive Hemorrhage]. Schweiz Med Wochenschr Suppl. 1996;79:70S-2S. PubMed PMID: 8701265.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Ectopic varices, a rare cause of digestive hemorrhage]. AU - Bühler,L, AU - Tamigneaux,I, AU - Giostra,E, AU - Grossholz,M, AU - Savioz,D, AU - Morel,P, AU - Mentha,G, PY - 1996/1/1/pubmed PY - 1996/1/1/medline PY - 1996/1/1/entrez SP - 70S EP - 2S JF - Schweizerische medizinische Wochenschrift. Supplementum JO - Schweiz Med Wochenschr Suppl VL - 79 N2 - From January 1986 to September 1995, 4 patients were hospitalized in our ward for gastrointestinal bleeding from ectopic varices. The patients were all female, aged 30 to 65 years. The etiology of portal hypertension in these patients was alcoholic cirrhosis, cirrhosis in Wilson's disease and previous alveolar echinococcosis treated by right hepatectomy, complicated by post-operative portal thrombosis. Clinical presentation in all 4 cases was lower gastrointestinal bleeding. Diagnosis was by emergency arteriography in 3 cases; no source was found in one case with recurrent hemorrhage. The 4 patients had a history of abdominal surgery. The location of the ectopic varices was small bowel and cecum. 3 patients were treated surgically: right colectomy, partial small bowel resection and porto-caval shunt with complete lysis of adhesions. One patient was treated conservatively with emergency placement of a TIPS (transjugular intrahepatic porto-systemic shunt), with simultaneous embolization of cecal varices. Upon laparotomy, all 3 surgical cases presented ectopic varices in post-operative adhesions. In conclusion, in a patient with portal hypertension presenting with lower gastrointestinal bleeding, hemorrhage from ectopic varices should be kept in mind and investigated by arteriography. A history of abdominal surgery seems to be a predisposing factor in development of ectopic varices by adhesion formation. SN - 0250-5525 UR - https://www.unboundmedicine.com/medline/citation/8701265/[Ectopic_varices_a_rare_cause_of_digestive_hemorrhage]_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -