Abstract
Portal hypertension with bleeding esophageal varices and infrarenal abdominal aortic aneurysms are relatively common problems. This report describes a patient with a recent upper gastrointestinal hemorrhage from esophageal varices secondary to portal hypertension as well as the presence of an asymptomatic 7 cm abdominal aortic aneurysm. Treatment consisted of splenectomy, splenorenal shunt and repair of the abdominal aortic aneurysm with a knitted Dacron graft. We know of no other case similar to this reported in the literature. A discussion of the approach to a patient with both conditions is presented.
MeSH terms
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Aorta, Abdominal
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Aortic Aneurysm / complications
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Aortic Aneurysm / diagnosis
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Aortic Aneurysm / surgery*
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Blood Vessel Prosthesis
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Esophageal and Gastric Varices / complications
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Esophageal and Gastric Varices / diagnosis
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Esophageal and Gastric Varices / surgery
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Gastrointestinal Hemorrhage / complications
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Gastrointestinal Hemorrhage / diagnosis
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Gastrointestinal Hemorrhage / surgery
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Humans
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Hypertension, Portal / complications
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Hypertension, Portal / diagnosis
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Hypertension, Portal / surgery
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Liver Diseases, Alcoholic / complications
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Liver Diseases, Alcoholic / diagnosis
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Male
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Middle Aged
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Polyethylene Terephthalates
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Splenectomy
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Splenorenal Shunt, Surgical*
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Tomography, X-Ray Computed
Substances
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Polyethylene Terephthalates