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KMID : 0602620010070030336
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Korean Journal of Hepatology
2001 Volume.7 No. 3 p.336 ~ p.340
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A Case of Spontaneous Hemoperitoneum due to Gastroepiploic Vein Rupture in Alcoholic Cirrhosis
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지정훈/Jeong Hoon Ji
임정묵/신종성/최기원/박선미/윤세진/장이찬/배일헌/성노현/채희복/Joung Muk Leem/Jong Sung Shin/Ki Won Choi/Seon Mee Park/Sei Jin Youn/Lee Chan Jang/Il Hun Bae/Ro Hyun Sung/Hee Bok Chae
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Abstract
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Portal hypertension often leads to the development of several collateral vessels that shunt blood flow from the portal to the systemic circulation. The rupture of intra-abdominal varix is an unusual complication of portal hypertension that can lead to
life-threatening hemoperitoneum of the patient is herrmdynamically unstable due to massive intra-abdominal bleeding, exploratory laparotomy should be performed on the patient. There are several reported cases of intra-abdominal variceal bleeding such as
paraumbilical varix, the varix from the small intestine and proximal colon etc. Spontaneous hemoperitoneum caused by the rupture of gastroepiploic vein varix, however, has not been repzted in Korm, to the best of our knowledge. We wiU discuss a patient
with portal hypnsion due to liver cirrhosis who pnmented with acute intra-abdominal bleeding. During the laparotomy, he was found to have a rupture of the gastnxpiploic vein. 'Ihe vessel was ligated, and the patient recovered uneventfully by operative
variceal ligation.
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