Combined uphill and downhill varices as a consequence of rheumatic heart disease: a unique presentation

Journal of Clinical and Experimental Hepatology
Yogesh P HarwaniAbhisheka Tripathi

Abstract

Hemorrhage from downhill varices is a rare manifestation. The etiology of downhill varices is due to superior vena cava obstruction while uphill varices are secondary to portal hypertension. We report a rare case of 55-year-old female with bleeding downhill varices not associated with obstruction or compression of superior vena cava, but was due to severe pulmonary artery hypertension secondary to chronic rheumatic heart disease.

References

Dec 1, 1978·Archives of Surgery·L S JohnsonD S Mulder
Sep 2, 2006·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·M AreiaD Freitas

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Citations

Mar 19, 2016·Case Reports in Critical Care·Lam-Phuong NguyenChristian Sandrock

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