Recurrent and troublesome variceal bleeding from parastomal caput medusae.
نویسندگان
چکیده
Variceal bleeding is common in chronic liver disease and is a frequent cause of acute upper gastrointestinal bleeding. The most common site of varices is the lower oesophagus but they may occur at any location where there are portosystemic anastomoses and collateral vascular formation. Location of ectopic varices at the site of enterocutaneous stomas is rare. We report on three cases of recurrent and severe bleeding from parastomal varices, requiring hospital admission. The patients had chronic liver disease but of different aetiological factors. Variceal formation results from portal hypertension due to chronic liver disease. There are various treatment options for parastomal variceal bleeding, including local, medical, and surgical interventions. Management of parastomal variceal bleeding presents a recurring and difficult problem. Bleeding may be considerable and sometimes life threatening. This diagnosis must be considered in patients with chronic liver disease presenting with stomal bleeding, even where the variceal formation may not be readily visible.
منابع مشابه
Ectopic Variceal Bleeding From Colonic Stoma
Parastomal variceal bleeding is a rare complication of portal hypertension, which often occurs in a recurrent manner and might be life-threatening in extreme situations. Treatment options vary, and no standard therapy has been established. Herein, we report 2 such cases. The first patient suffered from parastomal variceal bleeding after Hartmann procedure for rectal cancer. Stomal revision was ...
متن کاملParastomal Variceal Bleeding Attributed to Obstructive Pathology Successfully Treated by Percutaneous Variceal Embolization
Parastomal variceal bleeding is a rare cause of gastrointestinal bleeding, but it should be considered as a potential etiology in patients with portal hypertension and surgical stomas. Though standard endovascular management has not yet been established, transjugular intrahepatic portosystemic shunt (TIPS) is a recommended treatment option leading to decompression of underlying portal hypertens...
متن کاملUmbilical Varix in a Cirrhotic Patient
A 46-year-old male with alcohol-induced Child’s class A liver cirrhosis (MELD 10) presented with profuse bleeding from his umbilicus. The patient described being at his usual state of health until 2 hours prior to presentation, at which time he experienced blood spurting from his umbilicus. He immediately applied local pressure to his abdomen and presented to our hospital. The patient denied as...
متن کاملتأثیر گلسنگ بر جوانهزنی گونههای ,Stipa caucasica Schmalh ,Melica ciliata L ,Bromus tectorum L Taeniatherum caput-medusae (L.) Nevski
وجود پوشش گیاهی پراکنده از ویژگیهای مناطق خشک و نیمهخشک است و در برخی موارد فضای خالی بین این گیاهان با پوستههای زیستی مانند گلسنگها، پوشیده میشود. این پوستهها در یک اکوسیستم مرتعی از جهات گوناگون اهمیت دارند و تأثیرات متعددی بر جوانهزنی و زندهمانی گیاهان آوندی میگذارند. در این تحقیق تأثیرگذاری گلسنگها بهعنوان بخش مهمی از پوستههای زیستی بر جوانهزنی گیاهان علفی غالب مراتع استپی واقع...
متن کاملMolecular characterization and prevalence of two capulaviruses: Alfalfa leaf curl virus from France and Euphorbia caput-medusae latent virus from South Africa.
Little is known about the prevalence, diversity, evolutionary processes, genomic structures and population dynamics of viruses in the divergent geminivirus lineage known as the capulaviruses. We determined and analyzed full genome sequences of 13 Euphorbia caput-medusae latent virus (EcmLV) and 26 Alfalfa leaf curl virus (ALCV) isolates, and partial genome sequences of 23 EcmLV and 37 ALCV isol...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
دوره 64 5 شماره
صفحات -
تاریخ انتشار 2014