title: Intraperitoneal bleeding due to rupture of the left gastric vein (LGV) in a patient with liver cirrhosis: a case report.
abstract: 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.
authors.affiliation: Department of Gastroenterology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 228-8555, Japan. masaaki@kitasato-u.ac.jp
authors.forename: Masaaki
authors.initials: M
authors.lastname: Watanabe
authors.forename: Akitaka
authors.initials: A
authors.lastname: Shibuya
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Kitamura
authors.forename: Masakazu
authors.initials: M
authors.lastname: Takigawa
authors.forename: Keiji
authors.initials: K
authors.lastname: Matsunaga
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nishimaki
authors.forename: Mayumi
authors.initials: M
authors.lastname: Sasaki
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Isobe
authors.forename: Shigehiro
authors.initials: S
authors.lastname: Kokubu
authors.forename: Kazui
authors.initials: K
authors.lastname: Soma
authors.forename: Katsunori
authors.initials: K
authors.lastname: Saigenji
mesh_terms: 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