Spontaneous rupture of the lateral thoracic artery in patients with liver cirrhosis

The Korean Journal of Internal Medicine
Tae Hee LeeKyu Chan Huh

Abstract

Bleeding in patients with liver cirrhosis is primarily caused by gastroesophageal varix in association with extensive collateral circulation, portal hypertensive gastropathy, a Mallory-Weiss tear and peptic ulcer disease. The spontaneous rupture of an artery, as a result of coagulopathy, is extremely rare in patients with liver cirrhosis; however, we recently observed a case of a spontaneous rupture of the lateral thoracic artery in a 47 year-old male patient with alcoholic liver cirrhosis. The patient expired despite repeated transcatheter arterial embolization of the lateral thoracic artery and best supportive care. This is, to our knowledge, the first documented case of the spontaneous rupture of the lateral thoracic artery in a patient with liver cirrhosis.

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Citations

Apr 9, 2013·Journal of Medical Case Reports·Philippa OrchardKumar Abayasekara
Nov 28, 2013·Surgical and Radiologic Anatomy : SRA·Marios LoukasR Shane Tubbs
Mar 24, 2015·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Jong Sam HongGab Jin Cheon

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