[Acute massive hemorrhage from the recanalized umbilical vein as a complication of portal hypertension]. 2007

J Mendl, and F Krivan
Chirurgické oddelení Mestské Nemocnice Mariánské Lázne.

Portal hypertension is very often complicated by severe and a life threatening bleeding in GIT in most cases from oesophageal varices. Another complication of PH is dilatation of portosystemic shunts in abdominal wall so-called caput medusae. We describe a case of a man, that was admitted to our surgical department with massive bleeding from recanalisated umbilical vein as complication of portal hypertension. After couple of the recurrence of the haemorrhage and precise diagnosis of the source we have indicated surgical treatment. We cat off the lig. teres hepatis by laparoscopic approach to decrease tension in blood vessels in the abdominal wall. After surgery there were no evidence of rebleeding and the patient was forwarding for monitoring of oesophageal varices in gastroenterological center.

UI MeSH Term Description Entries
D006975 Hypertension, Portal Abnormal increase of resistance to blood flow within the hepatic PORTAL SYSTEM, frequently seen in LIVER CIRRHOSIS and conditions with obstruction of the PORTAL VEIN. Cruveilhier-Baumgarten Disease,Cruveilhier-Baumgarten Syndrome,Cruveilhier Baumgarten Disease,Cruveilhier Baumgarten Syndrome,Disease, Cruveilhier-Baumgarten,Portal Hypertension,Portal Hypertensions,Syndrome, Cruveilhier-Baumgarten
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004108 Dilatation, Pathologic The condition of an anatomical structure's being dilated beyond normal dimensions. Ectasia,Dilatation, Pathological,Dilatations, Pathologic,Dilatations, Pathological,Pathologic Dilatation,Pathologic Dilatations,Pathological Dilatation,Pathological Dilatations
D006470 Hemorrhage Bleeding or escape of blood from a vessel. Bleeding,Hemorrhages
D006488 Hemostasis, Surgical Control of bleeding during or after surgery. Surgical Hemostasis,Hemostases, Surgical,Surgical Hemostases
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000208 Acute Disease Disease having a short and relatively severe course. Acute Diseases,Disease, Acute,Diseases, Acute
D014471 Umbilical Veins Venous vessels in the umbilical cord. They carry oxygenated, nutrient-rich blood from the mother to the FETUS via the PLACENTA. In humans, there is normally one umbilical vein. Umbilical Vein,Vein, Umbilical,Veins, Umbilical

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