Characterization of the syndrome of small and large intestinal variceal bleeding.
Massive bleeding from jejunal varices in a young alcoholic with cirrhosis and portal hypertension ceased following a portocaval shunt. Although rare, bleeding from small or large bowel varices has a high mortality. In 62 cases, small or large bowel varices are almost always associated with a predisposing condition including previous abdominal surgery and portal hypertension from cirrhosis or other causes. Hematochezia without hematemesis and nonbleeding esophageal varices generally occur. Angiography is the best diagnostic test.
D000328:Adult; D000792:Angiography; D004932:Esophageal and Gastric Varices / Q000150:complications; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007420:Intestine, Large / Q000098:blood supply*; D007421:Intestine, Small / Q000098:blood supply*; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D011167:Portacaval Shunt, Surgical; D011877:Radionuclide Imaging; D012007:Rectum; D013577:Syndrome; D014648:Varicose Veins / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery