[Vascular malformations in the gastric fundus as a rare cause of fundus variceal hemorrhage].
In the differential diagnosis of the aetiology of portal hypertension arterio-portal fistulas as a rare cause have to be taken in account. The case of a 70-year-old male presenting with massive upper gastrointestinal bleeding secondary to gastric varices caused by a vascular malformation of the gastric fundus is reported and the problem of non-cirrhotic portal hypertension is discussed. In case of variceal bleeding aetiology of portal hypertension has to be clarified exactly before any kind of therapeutic intervention to avoid therapeutic pitfall.
Abteilung für Allgemein, Freie Universität Berlin.
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Germer
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Karavias
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Häring
D000368:Aged; D001165:Arteriovenous Malformations / Q000150:complications* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005743:Gastrectomy; D005748:Gastric Fundus / Q000098:blood supply*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006509:Hepatitis B / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology / Q000473:pathology / Q000601:surgery; D008103:Liver Cirrhosis / Q000150:complications / Q000473:pathology / Q000601:surgery; D008297:Male; D009131:Muscle, Smooth, Vascular / Q000473:pathology; D011170:Portasystemic Shunt, Surgical; D012008:Recurrence; D015911:Sclerotherapy
Vasculäre Malformation im Magenfundus als seltene Ursache einer Fundusvaricenblutung.