ID | 32880 |
JaLCDOI | |
フルテキストURL | |
著者 |
Onozato, Yasuhiro
Maebashi Red Cross Hospital
Kakizaki, Satoru
Gunma University
Iizuka, Haruhisa
Maebashi Red Cross Hospital
Mori, Kazuyo
Maebashi Red Cross Hospital
Takizawa, Daichi
Maebashi Red Cross Hospital
Ohyama, Tatsuya
Maebashi Red Cross Hospital
Arakawa, Kazuhisa
Maebashi Red Cross Hospital
Arai, Hirotaka
Maebashi Red Cross Hospital
Ishihara, Hiroshi
Maebashi Red Cross Hospital
Abe, Takehiko
Maebashi Red Cross Hospital
Sohara, Naondo
Gunma University
Sato, Ken
Gunma University
Takagi, Hitoshi
Gunma University
Mori, Masatomo
Gunma University
|
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 gastroduodenal anastomosis after subtotal gastrectomy. A 70-year-old male with liver cirrhosis due to hepatitis C virus infection was admitted for hematemesis and tarry stool. He had received a subtotal gastrectomy with the Billroth-I method for gastric ulcer at 46 years of age. Although emergency endoscopy revealed esophageal and gastric fundal varices, there were no obvious bleeding points. After removal of the coagula, ectopic varices and a fibrin plug were observed on the gastroduodenal anastomosis. During the observation, blood began to spurt from the fibrin plug. N-butyl-2-cyanoacrylate with lipiodol injection succeeded in hemostasis. Splenic angiography showed gastric varices feeding from a short gastric vein and the posterior gastric vein. The blood flow around the bleeding point, as indicated by lipiodol deposition, had decreased, and no feeding vein was observed. Endoscopic and angiographic findings are shown and the treatment for such lesions is discussed. |
キーワード | ectopic varices
N-butyl-2-cyanoacrylate (Histoacryl)
gastroduodenal anastomosis
portal hypertension
|
Amo Type | Case Report
|
出版物タイトル |
Acta Medica Okayama
|
発行日 | 2007-12
|
巻 | 61巻
|
号 | 6号
|
出版者 | Okayama University Medical School
|
開始ページ | 361
|
終了ページ | 365
|
ISSN | 0386-300X
|
NCID | AA00508441
|
資料タイプ |
学術雑誌論文
|
言語 |
英語
|
論文のバージョン | publisher
|
査読 |
有り
|
PubMed ID | |
Web of Science KeyUT |