Intraperitoneal bleeding due to rupture of the left gastric vein (LGV) in a patient with liver cirrhosis: a case report.
Intraperitoneal bleeding from ruptured ectopic varices is a rare and fatal complication in patients with portal hypertension. Although laparotomy with high mortality is performed, it is difficult to detect correct bleeding site and save the patient. This is probably the first case report of rupture from left gastric vein revealed by transjugular intrahepatic portosystemic shunt (TIPS). We propose the use of TIPS for diagnosing and treating intraperitoneal bleeding from ectopic varices.
Watanabe
Masaaki
M
Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 228-8555, Japan. masaaki@kitasato-u.ac.jp
Shibuya
Akitaka
A
Kitamura
Yumiko
Y
Takigawa
Masakazu
M
Matsunaga
Keiji
K
Nishimaki
Hiroshi
H
Sasaki
Mayumi
M
Isobe
Yoshinori
Y
Kokubu
Shigehiro
S
Soma
Kazui
K
Saigenji
Katsunori
K
D000368:Aged; D016887:Cardiopulmonary Resuscitation; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D012422:Rupture, Spontaneous; D013270:Stomach / Q000098:blood supply*; D014057:Tomography, X-Ray Computed