Superior mesenteric venous (SMV) varices

Case contributed by Dr Donna D'Souza
DSA (angiography)

This patient has alcoholic cirrhosis and severe portal hypertension.  She presented with bright red GI bleeding from her stoma.  A superior mesenteric venogram was performed (via transhepatic portal vein puncture) to identify a source of bleeding. Unfortunately no contrast extravasation was seen, therefore a site of active bleeding was not identified. 

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Case information

rID: 4615
Case created: 21st Sep 2008
Last edited: 23rd Nov 2015
Inclusion in quiz mode: Included

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