| Autor: |
Symeonidis, Dimitrios, Koukoulis, Georgios, Christodoulidis, Grigorios, Mamaloudis, Ioannis, Chatzinikolaou, Ioannis, Tepetes, Konstantinos |
| Předmět: |
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| Zdroj: |
International Journal of Surgery Case Reports; Nov2012, Vol. 3 Issue 9, p424-427, 4p |
| Abstrakt: |
Abstract: INTRODUCTION: Besides upper gastrointestinal tract, small bowel has also been implicated as a potential source of hemorrhage in patients with portal hypertension. PRESENTATION OF CASE: We report an interesting case of recurrent massive small intestinal bleeding in a patient with portal hypertension secondary to liver cirrhosis treated with a mesocaval shunt. Endoscopic assessment with gastroscopy and colonoscopy failed to identify the source of hemorrhage. An intraoperative enteroscopy was conducted which revealed a diffuse bleeding pattern from the small bowel mucosa. DISCUSSION: An interposition mesocaval shunt procedure was successfully carried out on an emergency basis that eventually managed to control bleeding. CONCLUSION: In cases, where a diffuse pattern of hemorrhage exist or non-operative measures fail emergency mesocaval shunting seems to be an efficacious alternative treatment approach for portal hypertension related intestinal bleeding. [Copyright &y& Elsevier] |
| Databáze: |
Supplemental Index |
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