Mesenteric varices: A source of mesosystemic shunts and gastrointestinal hemorrhage
Received: 08 February 1979 Accepted: 03 April 1979 DOI:
Cite this article as: Federle, M. & Clark, R.A. Gastrointest Radiol (1979) 4: 331. doi:10.1007/BF01887551 Abstract
The presence of mesenteric varices was demonstrated angiographically in 7 patients with portal hypertension. In 4 of these cases the mesenteric varices were the source of lower gastrointestinal bleeding which was successfully controlled by intra-arterial infusion of vasopressin. The radiological diagnosis and management of mesenteric varices is discussed and the pertinent literature is briefly reviewed.
Key words Visceral angiography, indications Intestine, hemorrhage Liver, cirrhosis Portal vein, hypertension References
Reuter SR, Redman H:
Gastrointestinal Angiography, p 180. WB Saunders Co, Philadelphia, 1972
Child CG III, Turcotte JG: Surgery and portal hypertension, In CG Child III (ed):
The Liver and Portal Hypertension p 50. WB Saunders Co, Philadelphia, 1964
Levy JS, Hardin JH, Shipp H, Keeling JH: Varices of the cecum as an unusual cause of gastrointestinal bleeding.
Bloor K, Orr W McN: A case of haemorrhage from varices in the small intestine due to portal hypertension.
Br J Surg 48:423–424, 1961
Feldman M, Smith VM, Warner CG: Varices of the colon.
Lopata HI, Berling L: Colon varices: a rare cause of lower gastrointestinal bleeding.
Fleming RJ, Seaman WB: Roentgenographic demonstration of unusual extra-esophageal varices.
Am J Roentgenol 103:281–290, 1968
Gray RK, Grollman JH: Acute lower gastrointestinal bleeding secondary to varices of the superior mesenteric venous system.
Hamlyn AN, Morris JS, Lunzer MR, Puritz MR, Dick R: Portal hypertension with varices in unusual sites.
Börjesson B, Olsson AM, Vang JO: Hemorrhage from a portal-systemic venous shunt with unusual localization in a case of portal hypertension.
Scand J Gastroenterol 9
Graeber GM, Ratner MH, Ackerman NB: Massive hemorrhage from ileostomy and colostomy stomas due to mucocutaneous varices in patients with coexisting cirrhosis.
Moncure AC, Waltman AC, Vandersalm TJ, Linton RR, Levine FH, Abbott WM: Gastrointestinal hemorrhage from adhesion-related mesenteric varices.
Ann Surg 183
Case Records of the Massachusetts General Hospital, Case 7-1976.
N Engl J Med 294:385–391, 1976
Fee HJ, Taylor JB, O'Connell TX: Bleeding intestinal varices associated with portal hypertension and previous abdominal surgery.
Am Surg 43
Kinkhabwala M, Mousavi A, Iyer S, Adamsons R: Bleeding ileal varicosity demonstrated by transhepatic portography.
Am J Roentgenol 129:514–516, 1977
Nu~nez D, Russell E, Yrizarry J, Pereiras R, Viamonte M: Portosystemic communications studied by transhepatic portography.
Edwards EA: Functional anatomy of the porta-systemic communications.
Arch Intern Med 88:137–154, 1951
Bramwit DN, Hummel WC: The superior and inferior mesenteric veins as collateral channels in inferior vena cava obstruction.
Athanosoulis CA, Waltman AC, Novelline RA, Krudy AG, Sniderman KW: Angiography. Its contribution to the emergency management of gastrointestinal hemorrhage.
Radioll Clin North Am 14:265–280, 1976
Lunderquist A, Vang J: Transhepatic catheterization and obliteration of the coronary vein in patients with portal hypertension and esophageal varices.
N Engl J Med 291
Baum S, Athanasoulis CA, Waltman AC: Gastrointestinal hemorrhage: angiographic diagnosis and control.
Adv Surg 7
Baum S, Nusbaum M: The control of gastrointestinal hemorrhage by selective mesenteric arterial infusion of vasopressin.
Conn HO, Ramsby GR, Storer EK: Selective intraarterial vasopressin in the treatment of upper gastrointestinal hemorrhage.
PubMed Copyright information
© Springer-Verlag New York Inc. 1979