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Portal Hypertensive Bleeding: A Navel Approach

Portal Hypertensive Bleeding: A Navel Approach Digestive Diseases and Sciences (2018) 63:1424–1427 https://doi.org/10.1007/s10620-018-5062-z UNM CLINIC AL C ASE CONFERENCES 1 2 3 3 Sarah Safadi  · Adam Nicol Delu  · Joseph Alcorn  · Denis McCarthy Published online: 19 April 2018 © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2018 Case 3.4–4.7 g/dL), total bilirubin 1.0 mg/dL (N: 0.3–1.2 mg/dL), creatinine 0.72 mg/dL (N: 0.66–1.25), and an international A 58-year old man was referred to the liver clinic with normalized ratio (INR) of 1.1 (N: 0.8–1.2). His calculated intermittent bleeding from his umbilicus. The bleeding was model for end-stage liver disease (MELD) score was 7. An bright red, occurring 3 times per week for several months. ultrasound examination of the abdomen demonstrated an During most of these episodes, he felt a sudden, warm, wet enlarged liver with increased echogenicity and an enlarged feeling in his shirt. Occasionally, the bleeding was more pro- spleen measuring 13.84 cm in length. fuse, and on one occasion it attenuated a dinner date when, Surgical consultation did not identify any readily treata- as he raised his shirt surreptitiously for inspection, a jet of ble source of bleeding. Evaluation by the Hepatology service blood splattered on his companion. prompted performance http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Digestive Diseases and Sciences Springer Journals

Portal Hypertensive Bleeding: A Navel Approach

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References (17)

Publisher
Springer Journals
Copyright
Copyright © 2018 by This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply
Subject
Medicine & Public Health; Gastroenterology; Hepatology; Oncology; Transplant Surgery; Biochemistry, general
ISSN
0163-2116
eISSN
1573-2568
DOI
10.1007/s10620-018-5062-z
pmid
29675662
Publisher site
See Article on Publisher Site

Abstract

Digestive Diseases and Sciences (2018) 63:1424–1427 https://doi.org/10.1007/s10620-018-5062-z UNM CLINIC AL C ASE CONFERENCES 1 2 3 3 Sarah Safadi  · Adam Nicol Delu  · Joseph Alcorn  · Denis McCarthy Published online: 19 April 2018 © This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2018 Case 3.4–4.7 g/dL), total bilirubin 1.0 mg/dL (N: 0.3–1.2 mg/dL), creatinine 0.72 mg/dL (N: 0.66–1.25), and an international A 58-year old man was referred to the liver clinic with normalized ratio (INR) of 1.1 (N: 0.8–1.2). His calculated intermittent bleeding from his umbilicus. The bleeding was model for end-stage liver disease (MELD) score was 7. An bright red, occurring 3 times per week for several months. ultrasound examination of the abdomen demonstrated an During most of these episodes, he felt a sudden, warm, wet enlarged liver with increased echogenicity and an enlarged feeling in his shirt. Occasionally, the bleeding was more pro- spleen measuring 13.84 cm in length. fuse, and on one occasion it attenuated a dinner date when, Surgical consultation did not identify any readily treata- as he raised his shirt surreptitiously for inspection, a jet of ble source of bleeding. Evaluation by the Hepatology service blood splattered on his companion. prompted performance

Journal

Digestive Diseases and Sciences – Springer Journals

Published: Apr 19, 2018

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