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Fatal variceal haemorrhage after paracetamol overdose.
  1. J R Thornton,
  2. M S Losowsky
  1. Department of Medicine, St James's University Hospital, Leeds.


    A patient is described where oesophageal varices developed and bled 13 days after a paracetamol overdose. The bleeding was unresponsive to medical management and proved fatal. There was no evidence that the patient had pre-existing liver disease. At necropsy the liver showed severe acute parenchymal necrosis but chronic lesions were absent. The portal vein and hepatic veins were patent.

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