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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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[Hemorrhage from the valleculae].

María Cristina Gascón-Rubio1, Miguel Lacasa-Laliena, María Isabel Fontana-Calvo

  • 1Servicio de Otorrinolaringología, Hospital San Jorge, Huesca, España. mcgascon@riojasalud.es

Acta Otorrinolaringologica Espanola
|April 20, 2010
PubMed
Summary

A case study details a 77-year-old man experiencing severe oral hemorrhage due to a varicose lesion in the valleculae. Successful treatment with suture and diathermy resolved the bleeding, preventing recurrence.

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Area of Science:

  • Otolaryngology
  • Gastroenterology

Background:

  • Vallecular varices are uncommon vascular malformations that can cause significant upper gastrointestinal bleeding.
  • Hemorrhage from the upper aerodigestive tract requires prompt diagnosis and management.

Observation:

  • A 77-year-old male presented with acute oral hemorrhage and blood clots, without associated cough or vomiting.
  • Hemodynamic instability was noted upon presentation.
  • A varicose lesion in the valleculae was identified as the source of bleeding.

Findings:

  • The patient's bleeding was successfully controlled using suture and diathermy.
  • No further bleeding episodes occurred post-intervention.

Implications:

  • This case highlights suture and diathermy as effective treatment options for vallecular varix-induced hemorrhage.
  • Early identification and management of vallecular varices are crucial for patient outcomes.