Adult; Anticoagulants/adverse effects/therapeutic use; Biopsy; Blood Coagulation Tests; Esophageal and Gastric Varices/etiology/therapy; Fibrosis/complications; Gastrointestinal Hemorrhage/etiology/therapy; Humans; Hypertension, Portal/complications/diagnosis/therapy; Liver Cirrhosis/complications/diagnosis/therapy; Male; Melena/etiology; Portal System; Protein C Deficiency/congenital/diagnosis/therapy; Protein S Deficiency/congenital/diagnosis/therapy; Sclerotherapy; Thrombocytopenia/congenital/diagnosis/therapy
Abstract :
[en] Variceal bleeding is frequently the initial presentation of a previously unknown cirrhosis. Portal hypertension and its complications without liver cirrhosis should raise the possibility of presinusoidal portal hypertension, and the diagnosis of hepatoportal sclerosis. These patients need to be investigated for coagulation disorders. A hypercoagulable state is often associated. Risks and benefits of anticoagulation should be further investigated in these patients.
Disciplines :
Gastroenterology & hepatology
Author, co-author :
Croes, F.; Centre Hospitalier Régionale de la Citadelle (Liège) - CHR CITADELLE
Servais, B.; CHBAH > Gastroentérologie
Delwaide, Jean ; Centre Hospitalier Universitaire de Liège - CHU > Gastro-Entérologie-Hépatologie
Ronge-Collard, E.; CHR de la Citadelle. > Biologie Clinique
Delhougne, B.; CHR de la Citadelle. > Gastroentérologie
Deflandre, Jean-Luc ; Centre Hospitalier Régionale de la Citadelle (Liège) - CHR CITADELLE > Gastroentérologie
Language :
French
Title :
Paradoxe: lorsqu'un etat prothrombotique est responsable d'une hemorragie digestive. Observation d'un cas de sclerose hepatoportale
Alternative titles :
[en] Paradox: when a prothrombotic disorder is responsible for an upper gastrointestinal bleeding. Case report of hepatoportal sclerosis
Publication date :
2004
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
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