[Massive hemorrhage due to esophageal varices as a form of presentation of autoimmune hepatitis].
Autoimmune hepatitis is a necro-inflammatory disease of unknown etiology. An acute or fulminant presentation is rare. We report a 18-year-old man presented with acute variceal hemorrhage. The patient was treated with endoscopic sclerotherapy, somatostatin, balloon tamponade and TIPS. The patient died within a week of massive bleeding and hepatic failure. This patient's history strongly suggests that autoimmune hepatitis can be presented as fulminant hemorrhage. The importance of diagnosis and treatment is emphasized to improve prognosis.
Bujanda
L
L
Servicio de Digestivo, Hospital Ntra. Sra. de Aránzazu, San Sebastián, Guipúzcoa.
Arriola
J A
JA
de Blas
M
M
Merino
S
S
Gutiérrez-Stampa
M A
MA
Arenas
J I
JI
D000208:Acute Disease; D000293:Adolescent; D003131:Combined Modality Therapy; D004630:Emergencies; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D019693:Hepatitis, Autoimmune / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male