[Paradox: when a prothrombotic disorder is responsible for an upper gastrointestinal bleeding. Case report of hepatoportal sclerosis].
Variceal bleeding is frequently the initial presentation of a previously unknown cirrhosis. Portal hypertension and its complications without liver cirrhosis should raise the possibility of presinusoidal portal hypertension, and the diagnosis of hepatoportal sclerosis. These patients need to be investigated for coagulation disorders. A hypercoagulable state is often associated. Risks and benefits of anticoagulation should be further investigated in these patients.
Croes
F
F
Service de Gastroenterologie, CHR de la Citadelle. fabienne.croes@skynet.be
Servais
B
B
Delwaide
J
J
Ronge-Collard
E
E
Delhougne
B
B
Deflandre
J
J
D000328:Adult; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D001706:Biopsy; D001780:Blood Coagulation Tests; D004932:Esophageal and Gastric Varices / Q000209:etiology* / Q000628:therapy; D005355:Fibrosis / Q000150:complications; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008551:Melena / Q000209:etiology; D011168:Portal System; D020151:Protein C Deficiency / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D018455:Protein S Deficiency / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy; D015911:Sclerotherapy; D013921:Thrombocytopenia / Q000151:congenital* / Q000175:diagnosis / Q000628:therapy
D000925:Anticoagulants