Perforated Hemocholecyst: An Unintended Consequence of Endoscopic Variceal Ligation?

Autor: Gasser MC; Department of Internal Medicine, Walter Reed National Military Medical Center, Bethesda, MD., Sadowski BW; Department of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, MD., Baird DE; Department of Radiology, Walter Reed National Military Medical Center, Bethesda, MD., Kwok RM; Department of Gastroenterology, Walter Reed National Military Medical Center, Bethesda, MD.
Jazyk: angličtina
Zdroj: ACG case reports journal [ACG Case Rep J] 2020 Apr 07; Vol. 7 (4), pp. e00369. Date of Electronic Publication: 2020 Apr 07 (Print Publication: 2020).
DOI: 10.14309/crj.0000000000000369
Abstrakt: Ectopic varices are a rare sequelae of portal hypertension and present in unique ways, which may not always prompt consideration. Furthermore, endoscopic interventions on venous collaterals in the setting of portal hypertension affect the portal system hemodynamics, which may further complicate the clinical picture. We report a man with decompensated hepatitis C cirrhosis who developed hemocholecyst complicated by perforation with hemoperitoneum soon after endoscopic variceal ligation of the esophageal varices in the setting of retrospectively discovered gallbladder varices.
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Databáze: MEDLINE