[An autopsy case of severe portal hypertensive gastropathy associated with a large shunt from superior mesenteric to left renal vein in a patient with alcoholic liver cirrhosis].
We report an autopsy case of severe portal hypertensive gastropathy with a large shunt from the superior mesenteric to left renal vein in a patient with alcoholic liver cirrhosis. A 60-year-old man with alcoholic cirrhosis was admitted for tarry stool and ascites. Endoscopic finding revealed multiple red spots and hemorrhagic gastritis at prepylorus of the stomach. Angiography showed a large shunt vessel originating from the superior mesenteric to left renal vein. He died of hepatic failure and DIC following frequent gastrointestinal bleeding. At autopsy, the stomach showed marked congestion of the capillary vessels in the tunica propria mucosa. This finding showed that the gastropathy resulted in the congestion of the gastric veins connecting with the large shunt vessel.
Kajiwara
E
E
Department of Internal Medicine, Nippon Steel Corporation, Yawata Works Hospital, Kitatyushu.
Nanbu
T
T
Onoyama
K
K
Nakagawa
T
T
Nakano
H
H
D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications* / Q000473:pathology; D008297:Male; D008642:Mesenteric Veins / Q000002:abnormalities*; D008875:Middle Aged; D012082:Renal Veins / Q000002:abnormalities*; D013272:Stomach Diseases / Q000209:etiology* / Q000473:pathology