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The Korean Journal of Medicine 2008;75(2): 215-220.
증례 : 알코올성 간경화증에 동반된 상행 결장의 정맥류 출혈 1예
김흥업.허규희.김승형.김봉수.강영준.이재천.김광식, , , , , ,
A case of variceal bleeding of the ascending colon associated with alcoholic liver cirrhosis
Heung Up Kim, Kyu Hee Her, Seung Hyoung Kim, Bong Soo Kim, Young Joon Kang, Jaechun Lee, Kwang Sik Kim
경희대학교 의과대학 순환기내과학교실
ABSTRACT
We report a very rare case of colonic varix with massive bleeding. A 43-year-old male patient was transferred to our hospital for hematochezia. The patient had a history of chronic liver disease associated with alcohol use. The initial blood pressure was 93/73 mmHg, and the hemoglobin level was 8.4 g/dL. Severe hepatomegaly and periportal fatty infiltration were seen on abdominal computed tomography. Markedly ectatic veins protruded from the luminal side of the proximal ascending colon and drained to the dilated ileocecal and retroperitoneal veins. Emergent colonoscopy failed because of continuous hematochezia and hypovolemic shock, despite massive transfusion. Markedly dilated colonic varices were noticed around the ileocecal and ascending colon on superior mesenteric arteriography. An emergent right hemicolectomy was performed. The presumed bleeding focus was a protruding varix with a red clot on the top of a denuded vein on the anteromedial wall of the proximal ascending colon. (Korean J Med 75:215-220, 2008) Key Words: Colonic varices; Gastrointestinal hemorrhage; Liver cirrhosis; Alcoholic
Keywords: Colonic varices; Gastrointestinal hemorrhage; Liver cirrhosis; Alcoholic
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