Recurrent bleeding from cutaneous venous collaterals in portal hypertension.
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.
van Buuren
H R
HR
Department of Internal Medicine, University Hospital Dijkzigt, Rotterdam, The Netherlands.
Fick
T E
TE
Schalm
S W
SW
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*