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Recurrent bleeding from cutaneous venous collaterals in portal hypertension.
  1. H R van Buuren,
  2. T E Fick,
  3. S W Schalm
  1. Department of Internal Medicine, University Hospital Dijkzigt, Rotterdam, The Netherlands.


    In portal hypertension, three types of cutaneous portosystemic collaterals may develop: the 'classical' caput Medusae, enterostomal varices and scar or adhesion-related abdominal collaterals. Two patients were treated with severe and recurrent bleeding from adhesion-related collaterals, a complication not reported previously. In the first patient bleeding was only controlled by mesocaval shunt operation; the second patient suffered no further recurrence after local sclerotherapy.

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