Rectal varices due to chronic inferior mesenteric vein thrombosis caused by external compression in a large hiatus hernia containing the pancreas
| Autor: | M Y Loh, E C Clark, M Stott, H A Rudman |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Cirrhosis Rectum Context (language use) Conservative Treatment Varicose Veins 03 medical and health sciences Mesenteric Veins 0302 clinical medicine medicine Humans Hernia Pancreas Aged business.industry Stomach General Medicine medicine.disease Thrombosis digestive system diseases Surgery stomatognathic diseases Hernia Hiatal Rectal Diseases medicine.anatomical_structure Online Case Report Splenic vein Mesenteric Ischemia 030220 oncology & carcinogenesis cardiovascular system Inferior mesenteric vein Female 030211 gastroenterology & hepatology Gastrointestinal Hemorrhage Tomography X-Ray Computed business |
| Zdroj: | The Annals of The Royal College of Surgeons of England. 100:e171-e173 |
| ISSN: | 1478-7083 0035-8843 |
| Popis: | A 79-year-old woman presented with a large fresh rectal bleed. Computed tomography revealed that she had a large type IV hiatus hernia, which contained the stomach and pancreas. Compression of the inferior mesenteric vein and splenic vein had led to thrombosis within these vessels and retrograde flow within the inferior mesenteric vein. This had led to the formation of portosystemic rectal varices. Ectopic varices occasionally form in the rectum, often in the context of liver cirrhosis. At the time of writing, ours is the first reported case of portosystemic rectal varices formulated in response to obstruction of vessels within a hiatus hernia. |
| Databáze: | OpenAIRE |
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