Gallbladder wall variceal haemorrhage with associated  rupture: a rare cause of mortality in the cirrhotic patient.
Gallbladder wall varices are unusual ectopic varices, which occur in the setting of portal hypertension, usually but not universally associated with portal vein thrombosis. Rupture of these varices may lead to life-threatening intra abdominal haemorrhage and is associated with a high mortality rate. We report a case of gallbladder wall variceal haemorrhage in a cirrhotic patient with patent transjugular intrahepatic portosystemic shunt, which resulted in death.
Kevans
David
D
Department of Hepatology, St James's Hospital, Dublin, Ireland. dave_kevans@yahoo.co.uk
MacNicholas
Ross
R
Norris
Suzanne
S
D000328:Adult; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000601:surgery; D017809:Fatal Outcome; D005704:Gallbladder / Q000098:blood supply / Q000601:surgery*; D006465:Hemoperitoneum / Q000150:complications* / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000601:surgery; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000009:adverse effects*; D012422:Rupture, Spontaneous / Q000150:complications / Q000601:surgery