title: Recurrent bleeding from cutaneous venous collaterals in portal hypertension.
abstract: In portal hypertension, three types of cutaneous portosystemic collaterals may develop: the 'classical' caput Medusae, enterostomal varices and scar or adhesion-related abdominal collaterals. Two patients were treated with severe and recurrent bleeding from adhesion-related collaterals, a complication not reported previously. In the first patient bleeding was only controlled by mesocaval shunt operation; the second patient suffered no further recurrence after local sclerotherapy.
authors.affiliation: Department of Internal Medicine, University Hospital Dijkzigt, Rotterdam, The Netherlands.
authors.forename: H R
authors.initials: HR
authors.lastname: van Buuren
authors.forename: T E
authors.initials: TE
authors.lastname: Fick
authors.forename: S W
authors.initials: SW
authors.lastname: Schalm
mesh_terms: D000005:Abdomen / Q000601:surgery; D000368:Aged; D002921:Cicatrix / Q000150:complications; D003097:Collateral Circulation; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012871:Skin Diseases / Q000209:etiology*