External Hemorrhage from a Portacaval Anastomosis in a Patient with Liver Cirrhosis

Bıyık, Murat; Uçar, Ramazan; Cifci, Sami; Özbek, Orhan; Güngör, Gökhan; Çakır, Özlem Özer; Yavuz, Fatma; Ataseven, Hüseyin; Demir, Ali

doi:10.1155/2014/523610

Cited by 2 publications

(2 citation statements)

References 6 publications

(8 reference statements)

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“…and extra-gastrointestinal (abdominal wall, retroperitoneum, bile duct, etc.) localizations have been reported in the literature (1,2). The most important complication associated with ectopic varices is bleeding.…”

Section: Introductionmentioning

confidence: 99%

Duodenal varices diagnosed by endoscopic ultrasound: a case report

Asıl¹,

Dertli²,

Bıyık³

et al. 2017

J Turgut Ozal Med Cent

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Portal hypertension and associated complications cause significant morbidity and mortality in cirrhotic patients. Variceal development is the most important portal hypertension related complication. Varices most commonly occur around the gastroesophageal junction, but ectopic varices may develop in many gastrointestinal and extra-gastrointestinal localizations. Duodenum is one of the most common localizations for ectopic varices. Diagnosis of duodenal varices is usually made by upper gastrointestinal endoscopy, but endoscopic appearance is not diagnostic and usually further investigations are required in order to make accurate diagnosis. Endoscopic ultrasound is the gold standard method for the examination of gastrointestinal submucosal lesions therefore it is also useful in the work up of suspected duodenal varices. Here we present a patient with cryptogenic liver cirrhosis followed in our clinic, whom duodenal lesions suspected of duodenal varices were noticed during upper gastrointestinal endoscopic examination and endoscopic ultrasound was used to confirm the presence of duodenal varices.

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Section: Introductionmentioning

confidence: 99%

Duodenal varices diagnosed by endoscopic ultrasound: a case report

Asıl¹,

Dertli²,

Bıyık³

et al. 2017

J Turgut Ozal Med Cent

Self Cite

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“…Hemorrhage occurs mainly in the gastrointestinal tract, whereas extraluminal bleeding is very rare. ( 1 ) The role of extraluminal varices in the risk stratification for gastrointestinal bleeding in liver cirrhosis has been increasingly evaluated, and several methods, such as endosonography and computed tomography (CT) scan, have been proposed as diagnostic tools for the detection of this rare but relevant entity. ( 2,3 ) We describe a case of an extraluminal variceal bleeding with mediastinal hematoma and bilateral hematothorax, without hematemesis, which was successfully treated with transjugular intrahepatic portosystemic shunt (TIPS) and embolization of the mediastinal varices.…”

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confidence: 99%