Cavernous Transformation of Portal Vein, Esophageal Varices, and Intravascular Coagulation

Letters1 March 1975Cavernous Transformation of Portal Vein, Esophageal Varices, and Intravascular CoagulationJ. L. MOAKE, M.D., W. ABRAMOVITS, M.D., Y. BEN-MENACHEM, M.D.J. L. MOAKE, M.D.Search for more papers by this author, W. ABRAMOVITS, M.D.Search for more papers by this author, Y. BEN-MENACHEM, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-82-3-383 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCavernous 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...References1. EIDELMAN A: Cavernous transformation of the portal vein. A case report. Gastroenterologia 108:283-290, 1967 CrossrefMedlineGoogle Scholar2. RÖSCHDOTTER JC: Extrahepatic portal obstruction in childhood and its angiographic diagnosis. Am J Roentgenol Radium Ther Nucl Med 112:143-149, 1971 CrossrefMedlineGoogle Scholar3. DEYKIN D: The clinical challenge of disseminated intravascular coagulation. N Engl J Med 282:636-644, 1970 Google Scholar4. COLMANROBBOYMINNA RSJ: Disseminated intravascular coagulation: an approach. Am J Med 52:679-689, 1972 CrossrefMedlineGoogle Scholar5. KASABACHMERRITT HK: Capillary hemangioma with extensive purpura; report of a case. Am J Dis Child 59:1063-1070, 1940 CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Departments of Medicine and Radiology University of Texas Medical School Houston, Texas 77025 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited BySpurious counts and spurious results on haematology analysers: a review. Part II: white blood cells, red blood cells, haemoglobin, red cell indices and reticulocytes 1 March 1975Volume 82, Issue 3Page: 383-384KeywordsBloodGastroenterology and hepatologyHemorrhageHepatosplenomegalyHospitalizationsLiverPortal veinsThoraxTomographyVeins Issue Published: 1 March 1975 PDF DownloadLoading ...