J. L. MOAKE, M.D.; W. ABRAMOVITS, M.D.; Y. BEN-MENACHEM, M.D.
Cavernous transformation of the portal vein may be a sequela of presinusoidal portal vein obstruction as small veins dilate in a compensatory effort to provide circulation to the liver (1, 2). Portal venous blood is extensively rerouted through gastroesophageal veins, and hemorrhage from varices is a common complication.
We have studied a 67-year-old black woman with hepatosplenomegaly and no history of alcohol intake who has survived 31 years after initial hospitalization for bleeding esophageal varices. She was recently re-admitted with dysphagia and stool positive for occult blood. Chest radiographs, fluoroscopy, and tomography showed a large pulsatile mass in the posterior
MOAKE JL, ABRAMOVITS W, BEN-MENACHEM Y. Cavernous Transformation of Portal Vein, Esophageal Varices, and Intravascular Coagulation. Ann Intern Med. ;82:383–384. doi: 10.7326/0003-4819-82-3-383
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Published: Ann Intern Med. 1975;82(3):383-384.
Esophageal Disorders, Gastroenterology/Hepatology, Liver Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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