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, Vol. 73, No. 3, 03.2021, p. 1233-1235.

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@article{506ee6d166454220a16fbb11fcd4bf2e,
title = "Bilateral Hematothorax without Hematemesis - an unusual Presentation of Variceal Bleeding",
abstract = "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.",
author = "Maria Paparoupa and Joerg Schrader and Caroline Jung and Olaf Boenisch and Lohse, {Ansgar W} and Stefan Kluge",
note = "Editorial Material",
year = "2021",
month = mar,
doi = "10.1002/hep.31477",
language = "English",
volume = "73",
pages = "1233--1235",
journal = "HEPATOLOGY",
issn = "0270-9139",
publisher = "John Wiley and Sons Ltd",
number = "3",

}

RIS

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 -