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

被引：0
作者：
Masaaki Watanabe
Akitaka Shibuya
Yumiko Kitamura
Masakazu Takigawa
Keiji Matsunaga
Hiroshi Nishimaki
Mayumi Sasaki
Yoshinori Isobe
Shigehiro Kokubu
Kazui Soma
Katsunori Saigenji
机构：
[1] Kitasato University School of Medicine,Department of Gastroenterology
[2] Kitasato University School of Medicine,Department of Emergency and Critical Care Medicine
[3] Kitasato University School of Medicine,Department of Radiology
[4] National Hospital Organization Tokyo Medical Center,Department of Radiology
[5] Juntendo University Nerima Hospital,Department of Gastroenterology
来源：
Abdominal Imaging | 2008年 / 33卷
关键词：
Intraperitoneal bleeding; Left gastric vein; Ectopic varices; Transjugular intrahepatic portosystemic shunt; Liver cirrhosis; Portal hypertension;
D O I：
暂无
中图分类号：
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.
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页码：324 / 327
页数：3
相关论文
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  • [1] Vangeli M(2004)Bleeding ectopic varices-treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolisation J Hepatol 41 560-566
  • [2] Patch D(2005)Ectopic varices in the gastrointestinal tract: short- and long-term outcomes of percutaneous therapy Cardiovasc Intervent Radiol 28 178-184
  • [3] Terreni N(2004)Diagnosis and management of ectopic varices J Gastroenterol Hepatol 19 S168-S173
  • [4] Macedo TA(2006)The use of TIPS in chronic liver disease Ann Hepatol 5 5-15
  • [5] Andrews JC(2002)Rectovesical ectopic varix intraperitoneal hemorrhage with fatal outcome [Letter to the editor] Am J Gastroenterol 97 504-575
  • [6] Kamath PS(1997)Hemoperitoneum in patient with ascites AM J Gastroenterol 92 567-330
  • [7] Van Stiegmann G(1997)Haemoperitoneum secondary to rupture of retroperitoneal varices HBP Surg 10 329-349
  • [8] Wong F(2000)Massive hemoperitoneum due to rupture of a retroperitoneal varix J Emerg Med 19 347-1158
  • [9] Olusola BF(1998)Management of ectopic varices Hepatol 28 1154-121
  • [10] McCashland TM(1985)Ectopic varices in portal hypertension Clin Gastroenterol 14 105-318
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