[Splenic vein thrombosis as cause of digestive hemorrhage: ruptured esophageal varices or hemorrhagic gastritis secondary to portal hypertension?].
The clinical evolution and treatment of two patients with alcoholic chronic pancreatitis complicated with digestive hemorrhage localized in the gastric corpus and fundus are discussed. The clinical picture and the endoscopic features suggested that the hemorrhage was due to hemorrhagic gastritis and not to rupture of varicose veins. Hemorrhagic gastritis as a consequence of segmentary portal hypertension may be responsible for the difficulty in establishing the etiology of digestive hemorrhage in such cases.
Cançado
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EL
Zaterka
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Guarita
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DR
Mott
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Cde B
Bettarello
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A
D000328:Adult; D004724:Endoscopy; D004932:Esophageal and Gastric Varices / Q000150:complications*; D005756:Gastritis / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D013162:Splenic Vein / Q000601:surgery; D013927:Thrombosis / Q000150:complications*
Trombose da veia esplênica como causa de hemorragia digestiva: varizes gástricas rotas ou gastrite hemorrágica secundária à hipertensão portal?