Adhesion-related variceal hemorrhage following sclerosis of esophageal varices.
A 78-year-old woman with portal hypertension had recurrent episodes of lower gastrointestinal hemorrhage two months after bleeding esophageal varices had been successfully treated with endoscopic injection sclerosis. Labeled red blood cell scans and mesenteric angiographic examination allowed a preoperative diagnosis of adhesion-related varices as the cause of bleeding. The problem was successfully treated by dividing the adhesion and resecting the involved small intestine.
Fry
R D
RD
Department of Surgery, Jewish Hospitals of St Louis, Washington University Medical Center, MO.
Fischer
K C
KC
Susman
N
N
Shatz
B A
BA
Hulbert
B
B
D000368:Aged; D004932:Esophageal and Gastric Varices / Q000628:therapy*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007082:Ileum / Q000098:blood supply*; D012008:Recurrence; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D000267:Tissue Adhesions; D014648:Varicose Veins / Q000209:etiology*
D012597:Sclerosing Solutions