Intractable bleeding from anorectal varices relieved by inferior mesenteric vein ligation.

Yeh, T; McGuire, H H · Gastroenterology · 1994

case_report · Level V

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Abstract

Intractable anorectal variceal bleeding is an uncommon manifestation of portal hypertension, distinct from simple hemorrhoids, that is managed with therapies as conservative as bedrest, stool softeners, and correction of coagulopathy and those as invasive as portosystemic shunt. In this case report, instant variceal decompression and cessation of bleeding followed a novel treatment: inferior mesenteric vein ligation.

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