Bilateral Hematothorax without Hematemesis - an unusual Presentation of Variceal Bleeding
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Bilateral Hematothorax without Hematemesis - an unusual Presentation of Variceal Bleeding. / Paparoupa, Maria; Schrader, Joerg; Jung, Caroline; Boenisch, Olaf; Lohse, Ansgar W; Kluge, Stefan.
in: HEPATOLOGY, Jahrgang 73, Nr. 3, 03.2021, S. 1233-1235.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › Andere (Vorworte u.ä.) › Forschung
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TY - JOUR
T1 - Bilateral Hematothorax without Hematemesis - an unusual Presentation of Variceal Bleeding
AU - Paparoupa, Maria
AU - Schrader, Joerg
AU - Jung, Caroline
AU - Boenisch, Olaf
AU - Lohse, Ansgar W
AU - Kluge, Stefan
N1 - Editorial Material
PY - 2021/3
Y1 - 2021/3
N2 - Variceal bleeding is a major complication of portal hypertension in patients with liver cirrhosis. Hemorrhage occurs mainly in the gastrointestinal tract, while extraluminal bleeding is very rare . The role of extraluminal varices in the risk stratification for gastrointestinal bleeding in liver cirrhosis has been increasingly evaluated and several methods, such as endosonography and computed tomography scan (CT-scan) have been proposed as diagnostic tools for the detection of this rare but relevant entity. We describe a case of an extraluminal variceal bleeding with mediastinal hematoma and bilateral hematothorax, without hematemesis, which was successfully treated with transjugular intrahepatic portosystemic shunt (TIPS) and embolization of the mediastinal varices.
AB - Variceal bleeding is a major complication of portal hypertension in patients with liver cirrhosis. Hemorrhage occurs mainly in the gastrointestinal tract, while extraluminal bleeding is very rare . The role of extraluminal varices in the risk stratification for gastrointestinal bleeding in liver cirrhosis has been increasingly evaluated and several methods, such as endosonography and computed tomography scan (CT-scan) have been proposed as diagnostic tools for the detection of this rare but relevant entity. We describe a case of an extraluminal variceal bleeding with mediastinal hematoma and bilateral hematothorax, without hematemesis, which was successfully treated with transjugular intrahepatic portosystemic shunt (TIPS) and embolization of the mediastinal varices.
U2 - 10.1002/hep.31477
DO - 10.1002/hep.31477
M3 - Other (editorial matter etc.)
C2 - 32706902
VL - 73
SP - 1233
EP - 1235
JO - HEPATOLOGY
JF - HEPATOLOGY
SN - 0270-9139
IS - 3
ER -