Watanabe M, Shibuya A, Kitamura Y, Takigawa M, Matsunaga K, Nishimaki H, Sasaki M, Isobe Y, Kokubu S, Soma K, Saigenji K. Intraperitoneal bleeding due to rupture of the left gastric vein (LGV) in a patient with liver cirrhosis: a case report.
ACTA ACUST UNITED AC 2007;
33:324-7. [PMID:
17486398 DOI:
10.1007/s00261-007-9248-7]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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.
Collapse