Source:http://linkedlifedata.com/resource/pubmed/id/12432304
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2002-11-14
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pubmed:abstractText |
We report the case of a 62-year-old male with portal hypertension and recurrent bleeding refractory to surgical intervention from varices in a sigmoid stoma. Although stomal varices were detected neither by physical examination, stomal endoscopy, nor duplex sonography, contrast-enhanced three-dimensional magnetic resonance angiography of the portal vein and its collateral branches demonstrated their presence. Surgical revisions of the stoma failed to prevent bleeding, but implantation of a transjugular intrahepatic shunt successfully prevented recurrent hemorrhage. This case indicates that contrast-enhanced, three-dimensional magnetic resonance angiography is useful to detect this rare complication of portal hypertension and helps to tailor adequate treatment in patients with recurrent bleeding from stomal varices.
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pubmed:language |
eng
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pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:author | |
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1541-4
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pubmed:dateRevised |
2007-11-15
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pubmed:articleTitle |
Contrast-enhanced three-dimensional magnetic resonance angiography for visualization of ectopic varices.
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pubmed:affiliation |
Department of Visceral Surgery and Transplantation, University Hospital of Zurich, Ramistrasse 100, 8091 Zurich, Switzerland.
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