Résumé
A la suite de trois cas ďhémorragie digestive grave par rupture de varices ectopiques, les auteurs situent le problème clinique posè par de tels accidents survenant chez le cirrhotique.
Les varices duodénales, plus fréquentes en cas ďhypertension portale par bloc infra-hépatique, peuvent échapper au diagnostic endoscopique.
Leur rupture, produite chez nos malades par une hypertension portale peu sévère, requière souvent une dérivation porto-systémique chirurgicale.
Les varices rectocoliques ont une grande prévalence aux saignements. Nous rapportons un cas de rupture de varice rectale illustrant le caractère massif et le pronostic péjoratif ďun tel accident.
Summary
In reference to three cases of severe digestive hemorrhage caused by rupture of ectopic varices, the authors formulate the clinical problem posed by such complications occuring in the patient suffering from cirrhosis.
Duodenal varices, which are more frequent in case of portal hypertension due to an infrahepatic block, are not always detected by means of endoscopic diagnosis. Their rupture, due to a not too serious portal hypertension, as for our patients, often requires a surgical portosystemic bypass.
Rectocolonic varices are often associated with bleeding. We mention here a case of rupture of rectal varix illustrating the massive character and the pejorative prognosis of such a complication.
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Deflandre, J., Servais, R., Lamy, V. et al. Hémorragies digestives graves sur varices ectopiques du tractus digestif. Acta Endosc 16, 213–218 (1986). https://doi.org/10.1007/BF02962918
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DOI: https://doi.org/10.1007/BF02962918