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Fallot's tetralogy presenting with variceal bleed.

D Kejariwal1, N Sarkar, S Roy

  • 1Department of Medicine, Institute of Post Graduate Medical Education and Research and SSKM Hospitals, Calcutta, India.

Journal of Postgraduate Medicine
|February 8, 2002
PubMed
Summary
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Fallot's tetralogy can cause blood clots, but splenic vein thrombosis leading to variceal bleeding is a rare presentation. This case highlights a 48-year-old woman with undiagnosed Fallot's tetralogy who survived without treatment.

Area of Science:

  • Cardiology
  • Hematology
  • Gastroenterology

Background:

  • Fallot's tetralogy is a congenital heart defect characterized by erythrocytosis, which increases the risk of thrombosis.
  • Splenic vein thrombosis and subsequent variceal bleeding are uncommon complications, particularly in undiagnosed cases.

Observation:

  • A 48-year-old female with previously undiagnosed Fallot's tetralogy presented with variceal bleeding.
  • The bleeding was attributed to splenic vein thrombosis, a rare manifestation of the condition.
  • Notably, the patient had survived for 48 years without any medical or surgical intervention for her heart defect.

Findings:

  • This case demonstrates an unusual presentation of Fallot's tetralogy, where splenic vein thrombosis and variceal bleeding were the primary clinical issues.

Related Experiment Videos

  • The patient's survival into adulthood without treatment for Fallot's tetralogy is remarkable.

    • Implications:

    • This case underscores the importance of considering rare complications of congenital heart diseases, even in adults presenting with seemingly unrelated conditions.
    • It highlights the potential for significant thrombotic events in patients with untreated erythrocytosis due to Fallot's tetralogy.
    • Further research into long-term outcomes and management strategies for adults with undiagnosed Fallot's tetralogy may be warranted.