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Vaginal bleeding complicating portal hypertension: a particular entity - report of two cases and review of the literature.

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Orlando, Giuseppe Goffette, Pierre [UCL] Geubel, André [UCL] Lerut, Jan [UCL]

Vaginal haemorrhage arising from varices is an exceptional complication of portal hypertension. Two cases successfully treated by transjugular intrahepatic portosystemic stent shunt are presented here. Both these patients previously had a total hysterectomy as did three out of four cases reported in the literature. Clinicians should be aware of 'vaginal bleeding' in the context of both hysterectomy and chronic liver disease in order to adopt the correct diagnostic and therapeutic approach. Definitive treatment can be obtained only if the underlying portal hypertension is adequately taken into consideration.

Document type Article de périodique (Journal article) – Article de recherche – Case Reports, Journal Article
Access type Accès restreint
Publication date 2005
Language Anglais
Journal information "Transplant international : official journal of the European Society for Organ Transplantation" - Vol. 18, no. 12, p. 1382-5 (2005)
Peer reviewed yes
issn 0934-0874
Publication status Publié
Affiliations UCL - MD/RAIM - Département de radiologie et d'imagerie médicale
UCL - (SLuc) Service de radiologie
UCL - MD/MINT - Département de médecine interne
UCL - MD/NOPS - Département de neurologie et de psychiatrie
UCL - MD/CHIR - Département de chirurgie
UCL - (SLuc) Service de chirurgie et transplantation abdominale
UCL - (SLuc) Service d'hépato-gastro-entérologie
MESH Subject Female ; Hemorrhage - etiology ; Humans ; Hypertension, Portal - complications ; Hysterectomy - adverse effects ; Liver Transplantation - adverse effects ; Middle Aged ; Portal Vein - pathology ; Portasystemic Shunt, Transjugular Intrahepatic ; Vagina - pathology
Links
  1. KREEK MARY JEANNE, Portal Hypertension with Bleeding Vaginal Varices, 10.7326/0003-4819-66-4-756
  2. Siw Eriksson Ljusk, Hårdstedt Christian, Law DavidH., Thulin Lars, MASSIVE HAEMORRHAGE FROM VAGINAL VARICOSE VEINS IN PATIENT WITH LIVER CIRRHOSIS, 10.1016/s0140-6736(82)92242-5
  3. Marzotko E, Zentralbl Gynakol, 118, 417 (1996)
  4. Hoshida Yujin, Saitoh Satoshi, Murashima Naoya, Ogawa Aiko, Arase Yasuji, Kobayashi Masahiro, Suzuki Yoshiyuki, Tsubota Akihito, Chayama Kazuaki, Ikeda Kenji, Kumada Hiromitsu, Vaginal Variceal Hemorrhage in a Patient With Primary Biliary Cirrhosis: A Case Successfully Treated by Balloon-Occluded Retrograde Transvenous Obliteration, 10.1111/j.1572-0241.1999.03081.x
  5. Bosch J, Hepatologie Clinique, 680 (2002)
  6. Stanley Adrian J, Hayes Peter C, Portal hypertension and variceal haemorrhage, 10.1016/s0140-6736(97)06283-1
  7. Azoulay Daniel, Castaing Denis, Majno Pietro, Saliba Faouzi, Ichaı̈ Philippe, Smail Allaoua, Delvart Valérie, Danaoui Monzer, Samuel Didier, Bismuth Henri, Salvage transjugular intrahepatic portosystemic shunt for uncontrolled variceal bleeding in patients with decompensated cirrhosis, 10.1016/s0168-8278(01)00185-4
Bibliographic reference Orlando, Giuseppe ; Goffette, Pierre ; Geubel, André ; Lerut, Jan. Vaginal bleeding complicating portal hypertension: a particular entity - report of two cases and review of the literature.. In: Transplant international : official journal of the European Society for Organ Transplantation, Vol. 18, no. 12, p. 1382-5 (2005)
Permanent URL http://hdl.handle.net/2078.1/27837