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Recurrent bleeding from cutaneous venous collaterals in portal hypertension
H R van Buuren1, T E Fick, S W Schalm
1Department of Internal Medicine, University Hospital Dijkzigt, Rotterdam, The Netherlands.
Gut
|September 1, 1988
Abstract:
In portal hypertension, three types of cutaneous portosystemic collaterals may develop: the 'classical' caput Medusae, enterostomal varices and scar or adhesion-related abdominal collaterals. Two patients were treated with severe and recurrent bleeding from adhesion-related collaterals, a complication not reported previously. In the first patient bleeding was only controlled by mesocaval shunt operation; the second patient suffered no further recurrence after local sclerotherapy.