Abstract

PANIAGUA ESTEVEZ, Manuel  and  PINOL JIMENEZ, Felipe. Ectasias vasculares del antro gástrico como causa de hemorragia digestiva crónica: Presentación de 1 caso. Rev cubana med [online]. 1999, vol.38, n.1, pp. 71-78. ISSN 1561-302X.

A case with history of chronic liver disease of cirrhotic type and non determined cause (diagnosed since 1983) was presented. The patient had had digestive hemorrhages at about 2 years before (1996-1997) and had been transfused due to severe anemia. Diffuse vascular ectasias in the distal region of the antrum and in part of the gastric body with signs of active hemorrhage and similar lesions in the colon that were not bleeding, were found in the duodenoscopy and colonoscopy. Normal TGP values and negative markers of HBV and HCV were obtained. Imaging examination was normal. There was no personal or family history of vascular disorders in any organ. The diagnosis at discharge was diffuse vascular ectasia of the gastric antrum and of the body, and of the cecum and right colon secondary to liver cirrhosis. This patient was admitted again because of high digestive hemorrhage and it was decided to perform surgery. Gastric resection was carried out with encouraging results. The case was analyzed and the entity was reviewed.

Keywords : GASTROINTESTINAL HEMORRHAGE [etiology]; PYLORIC ANTRUM [blood supply]; LIVER CIRRHOSIS [complications]; VASCULAR DISEASES [complications].

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