title: Hematemesis from esophageal varices associated with esophageal perforation: sclerotherapy and endoscopic clipping.
abstract: A 46-year-old man was referred to our Unit for hematemesis. The medical history of the patient revealed an HCV-related cirrhosis, a human immunodeficiency virus (HIV) infection and recent and persistent episodes of emesis. An urgent gastroscopy disclosed evidence of active bleeding from varices of the lower third of the esophagus and a concomitant laceration of the esophageal wall due to the emesis. These two conditions have been endoscopically diagnosed and successfully treated by sclerotherapy and endoscopic clipping.
authors: Unit of Gastroenterology and Digestive Endoscopy, Sandro Pertini Hospital, Rome, Italy. maddyzip@yahoo.it
authors: M
authors: M
authors: Zippi
authors: G
authors: G
authors: Traversa
authors: R
authors: R
authors: Pica
authors: G
authors: G
authors: Occhigrossi
mesh_terms: D003131:Combined Modality Therapy; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D004945:Esophagoscopy; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005773:Gastroscopy; D006396:Hematemesis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D008875:Middle Aged; D015911:Sclerotherapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014839:Vomiting / Q000150:complications*