MARY JEANNE KREEK, M.D.; JOSEPH V. RAZIANO, M.D.; ROBERT E. HARDY, M.D.; GRAHAM H. JEFFRIES, M.B.
Abnormal vascular communications between the portal and systemic vascular systems may be present in fibrous adhesions joining the visceral and parietal peritoneum after abdominal or pelvic surgery. Acute bleeding may occur from varicose portal-systemic collateral veins that may develop in these adhesions in patients with portal venous hypertension (1-3). The present report describes a unique patient with bleeding from vaginal vault varices. Portalsystemic collateral veins had developed in postoperative adhesions between the mesentery of the distal small intestine and the vaginal vault in association with portal hypertension secondary to Laennec's cirrhosis.
Patient I. C., a 40-year-old white woman,
KREEK MJ, RAZIANO JV, HARDY RE, JEFFRIES GH. Portal Hypertension with Bleeding Vaginal Varices. Ann Intern Med. ;66:756–759. doi: 10.7326/0003-4819-66-4-756
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© 2018
Published: Ann Intern Med. 1967;66(4):756-759.
DOI: 10.7326/0003-4819-66-4-756
Gastroenterology/Hepatology, Liver Disease.
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