JaLCDOI 10.18926/AMO/30716
フルテキストURL fulltext.pdf
著者 Matsui, Masayuki| Kojima, Akira| Kakizaki, Satoru| Nagasaki, Kazumi| Sohara, Naondo| Sato, Ken| Takagi, Hitoshi| Mori, Masatomo| Ohno, Yoshihiro|
抄録 The term ectopic varices is used to describe dilated portosystemic collateral veins in unusual locations other than the gastroesophageal region. We recently experienced a rare case of ectopic varices that developed in the right diaphragm and ruptured into the pleural cavity. A 68-year-old female with hepatocellular carcinoma complicated with liver cirrhosis was admitted due to an acute onset of dyspnea and right bloody pleural effusion. Because of the patient's advanced hepatocellular carcinoma and poor condition, conservative therapies such as hemostats and blood transfusion were selected. Even though the bleeding to the pleural cavity stopped spontaneously, the patient died due to a progression of liver failure. Autopsy revealed a huge collateral vein in the right diaphragm. The etiology, prevalence, relationship with portal hypertension, and treatment of ectopic varices are discussed herein.
キーワード ectopic varices portal hypertension collateral vein diaphragm
Amo Type Article
発行日 2006-08
出版物タイトル Acta Medica Okayama
60巻
4号
出版者 Okayama University Medical School
開始ページ 229
終了ページ 232
ISSN 0386-300X
NCID AA00508441
資料タイプ 学術雑誌論文
言語 English
論文のバージョン publisher
査読 有り
PubMed ID 16943860
Web of Sience KeyUT 000239911100004