[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.
Soyer
P
P
Service de Radiologie, Hôpital Louis-Mourier, Colombes.
Lacheheb
D
D
Zeitoun
G
G
Parmentier
G
G
Hay
J M
JM
Levesque
M
M
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.