Hemorrhagic Shock from Acute Variceal Bleeding Caused by Sarcoidosis: A Case Report.

Autor:	Haaksma ME; Department of Intensive Care Medicine, Spaarne Gasthuis Hospital- Hoofddorp, Rotterdam, The Netherlands., van der Bie S; Department of Intensive Care Medicine, Spaarne Gasthuis Hospital- Hoofddorp, Rotterdam, The Netherlands., van Soest EJ; Department of Gastro-enterology, Spaarne Gasthuis Hospital- Hoofddorp, Rotterdam, The Netherlands., Vermin B; Department of Intensive Care Medicine, Spaarne Gasthuis Hospital- Hoofddorp, Rotterdam, The Netherlands., Goeijenbier M; Department of Intensive Care Medicine, Spaarne Gasthuis Hospital- Hoofddorp, Rotterdam, The Netherlands.; Department of Intensive Care Medicine, Erasmus MC, Rotterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	Saudi journal of medicine & medical sciences [Saudi J Med Med Sci] 2024 Jul-Sep; Vol. 12 (3), pp. 266-269. Date of Electronic Publication: 2024 Jun 20.
DOI:	10.4103/sjmms.sjmms_629_23
Abstrakt:	Sarcoidosis is a disease of unknown etiology, characterized by noncaseating granulomas. Generally, the condition primarily manifests in the lungs. Extrapulmonary involvement is common, but localization in the gastrointestinal system is rare. Here, we present the case of a 37-year-old male who became increasingly hemodynamically unstable during the diagnostic workup for sarcoidosis due to acute variceal bleeding. The underlying mechanism was later attributed to portal hypertension caused by hepatic involvement of the disease. This case demonstrates the importance of considering variceal hemorrhage as a rare but life-threatening complication of gastrointestinal localization of sarcoidosis. Competing Interests: There are no conflicts of interest. (Copyright: © 2024 Saudi Journal of Medicine & Medical Sciences.)
Databáze:	MEDLINE
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