An unusual cause of hematemesis: Goiter.
Downhill varices are located in the upper part of the esophagus and are usually related to superior vena cava obstruction. Bleeding from these varices is extremely rare. We describe a 77-year-old patient with hematemesis due to downhill varices as a result of recurrent goiter. A right lobe thyroidectomy was carried out with disappearance of the varices.
van der Veldt
Astrid A M
AA
Department of Gastroenterology, VU University Medical Center, Amsterdam 1007 MB, The Netherlands. aam.vanderveldt@vumc.nl
Hadithi
Mohammed
M
Paul
Marinus A
MA
van den Berg
Fred G
FG
Mulder
Chris J J
CJ
Craanen
Mikael E
ME
D000368:Aged; D005260:Female; D006042:Goiter / Q000150:complications / Q000175:diagnosis*; D006396:Hematemesis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008953:Models, Anatomic; D008954:Models, Biological; D013961:Thyroid Gland / Q000473:pathology; D013965:Thyroidectomy / Q000379:methods*; D016896:Treatment Outcome; D014648:Varicose Veins / Q000175:diagnosis* / Q000473:pathology