JaLCDOI 10.18926/AMO/30716
FullText URL fulltext.pdf
Author Matsui, Masayuki| Kojima, Akira| Kakizaki, Satoru| Nagasaki, Kazumi| Sohara, Naondo| Sato, Ken| Takagi, Hitoshi| Mori, Masatomo| Ohno, Yoshihiro|
Abstract 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.
Keywords ectopic varices portal hypertension collateral vein diaphragm
Amo Type Article
Published Date 2006-08
Publication Title Acta Medica Okayama
Volume volume60
Issue issue4
Publisher Okayama University Medical School
Start Page 229
End Page 232
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language 英語
File Version publisher
Refereed True
PubMed ID 16943860
Web of Science KeyUT 000239911100004