Document Detail

Massive colonic variceal bleeding secondary to abnormal splenocolic collaterals: report of a case.
MedLine Citation:
PMID:  306336     Owner:  NLM     Status:  MEDLINE    
Even in the absence of demonstrable esophagogastric varices in the cirrhotic patient, a diagnosis of variceal bleeding from unusual sites should be entertained in the differential diagnosis of massive lower gastrointestinal hemorrhage. The varices may reflect the increased pressure in the superior or inferior mesenteric systems or in the splenic system through abnormal splenocolic anastomoses. This case has the unique feature of bleeding from varices interposed between the splenic and inferior mesenteric venous systems, as opposed to the previously described cases of varices draining directly into a portosystemic conduit.
J S Freed; P H Schuchmacher; L Bluestone; A Fano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  21     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1978 Mar 
Date Detail:
Created Date:  1978-07-26     Completed Date:  1978-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  126-7     Citation Subset:  IM    
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MeSH Terms
Collateral Circulation*
Colon / blood supply*
Gastrointestinal Hemorrhage / etiology*
Liver Cirrhosis, Alcoholic / complications
Middle Aged
Spleen / blood supply*
Varicose Veins / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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