Intraperitoneal bleeding due to rupture of the left gastric vein (LGV) in a patient with liver cirrhosis: a case report

被引：3

作者：

Watanabe, Masaaki ^{[1
]}

Shibuya, Akitaka ^{[1
]}

Kitamura, Yumiko ^{[2
]}

Takigawa, Masakazu ^{[3
]}

Matsunaga, Keiji ^{[3
]}

Nishimaki, Hiroshi ^{[2
]}

Sasaki, Mayumi ^{[3
]}

Isobe, Yoshinori ^{[4
]}

Kokubu, Shigehiro ^{[5
]}

Soma, Kazui ^{[2
]}

Saigenji, Katsunori ^{[1
]}

机构：

[1] Kitasato Univ, Sch Med, Dept Gastroenterol, Kanagawa 2288555, Japan

[2] Kitasato Univ, Sch Med, Dept Emergency & Crit Care Med, Kanagawa 2288555, Japan

[3] Kitasato Univ, Sch Med, Dept Radiol, Kanagawa 2288555, Japan

[4] Natl Hosp Org, Tokyo Med Ctr, Dept Radiol, Tokyo, Japan

[5] Juntendo Univ, Nerima Hosp, Dept Gastroenterol, Tokyo, Japan

来源：

ABDOMINAL IMAGING | 2008年 / 33卷 / 03期

关键词：

intraperitoneal bleeding; left gastric vein; ectopic varices; transjugular intrahepatic portosystemic shunt; liver cirrhosis; portal hypertension;

D O I：

10.1007/s00261-007-9248-7

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Intraperitoneal bleeding from ruptured ectopic varices is a rare and fatal complication in patients with portal hypertension. Although laparotomy with high mortality is performed, it is difficult to detect correct bleeding site and save the patient. This is probably the first case report of rupture from left gastric vein revealed by transjugular intrahepatic portosystemic shunt (TIPS). We propose the use of TIPS for diagnosing and treating intraperitoneal bleeding from ectopic varices.

引用

页码：324 / 327

页数：4

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