| Autor: |
E, Caturelli, G, Sperandeo, M M, Squillante, A, Mangia, L, Gabbrielli |
| Rok vydání: |
1989 |
| Předmět: |
|
| Zdroj: |
Journal of clinical gastroenterology. 11(3) |
| ISSN: |
0192-0790 |
| Popis: |
Two cases of Cruveilhier-Baumgarten syndrome not clinically evident and without esophageal varices in patients with liver cirrhosis and portal hypertension are presented. The diagnosis was made by real-time ultrasonography, which showed echographic caput medusae with large afferent umbilical veins and efferent inferior superficial epigastric veins. Doppler flowmetry documented high blood flow rates in these collateral portal-systemic circulations, and this explained the absence of large varices at endoscopy. The role of massive spontaneous portal-systemic shunts in preventing the formation of other shunts and particularly esophageal variceal bleeding is discussed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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