[Digestive hemorrhage caused by congestive gastropathy in a patient with liver cirrhosis: emergency treatment by transjugular intrahepatic portosystemic anastomosis].
A 34-year-old woman with liver cirrhosis and portal hypertension was admitted for gastric bleeding due to congestive gastropathy. Her past medical history included 4 episodes of variceal rupture within the last 5 months. As medical treatment was a failure, an emergency transjugular intrahepatic portosystemic shunt was successfully performed, resulting in a marked drop in portal pressure (from 32 to 15 mm Hg) and a subsequent arrest of acute hemorrhage. Four months later, no recurrent bleeding has been observed and the shunt has remained patent as documented by duplex Doppler sonography.
Service de Radiologie, Hôpital Louis-Mourier, Colombes.
P
P
Soyer
D
D
Lacheheb
G
G
Zeitoun
G
G
Parmentier
J M
JM
Hay
M
M
Levesque
D000328:Adult; D004635:Emergency Medicine; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000628:therapy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D011170:Portasystemic Shunt, Surgical / Q000379:methods*; D011859:Radiography; D015911:Sclerotherapy; D013272:Stomach Diseases / Q000150:complications*
Hémorragie digestive par gastropathie congestive chez un malade atteint de cirrhose: traitement en urgence par anastomose porto-systémique intra-hépatique transjugulaire.