Document Detail

Vallecular varix causing diagnostic confusion in hematemesis.
MedLine Citation:
PMID:  18302269     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Hematemesis is a common and dramatic presentation of upper gastrointestinal bleeding and is a source of significant morbidity and mortality. Common causes include peptic ulcer disease and varices. However, endoscopists need to be aware of other rare causes to avoid a delay in diagnosis, which may be potentially fatal. METHODS AND RESULTS: We present a case of vallecular varix causing recurrent hematemesis and successfully treated with sclerosant injection. We also review the literature regarding its pathogenesis and treatment. CONCLUSIONS: Vallecular varicosities are a rare cause of life-threatening bleeding from the aerodigestive tract. The area should be targeted early for evaluation especially in cases of bleeding of unknown origin.
Manzhi Wong; Philip Karuman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Head & neck     Volume:  30     ISSN:  1097-0347     ISO Abbreviation:  Head Neck     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-17     Completed Date:  2009-02-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902541     Medline TA:  Head Neck     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1643-5     Citation Subset:  IM    
Copyright Information:
(c) 2008 Wiley Periodicals, Inc.
Department of General Surgery, Singapore General Hospital, Outram Road, Singapore.
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MeSH Terms
Diagnosis, Differential
Hematemesis / etiology*
Injections, Intralesional
Sclerosing Solutions / administration & dosage*
Sodium Tetradecyl Sulfate / administration & dosage*
Tongue / blood supply*
Treatment Outcome
Varicose Veins / complications*,  diagnosis*,  pathology
Reg. No./Substance:
0/Sclerosing Solutions; 1191-50-0/Sodium Tetradecyl Sulfate

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

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