Portal Hypertension with Bleeding Vaginal Varices
Authors: Mary Jeanne Kreek, Joseph V. Raziano, Robert E. Hardy, Graham H. Jeffries
Journal: Annals of Internal Medicine (1967)

Case Studies1 April 1967Portal Hypertension with Bleeding Vaginal VaricesMARY JEANNE KREEK, M.D., JOSEPH V. RAZIANO, M.D., ROBERT E. HARDY, M.D., GRAHAM H. JEFFRIES, M.B.MARY JEANNE KREEK, M.D., JOSEPH V. RAZIANO, M.D., ROBERT E. HARDY, M.D., GRAHAM H. JEFFRIES, M.B.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-4-756 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAbnormal vascular communications between the portal and systemic vascular systems may be present in fibrous adhesions joining the visceral and parietal peritoneum after abdominal or pelvic surgery. Acute bleeding may occur from varicose portal-systemic collateral veins that may develop in these adhesions in patients with portal venous hypertension (1-3). The present report describes a unique patient with bleeding from vaginal vault varices. Portalsystemic collateral veins had developed in postoperative adhesions between the mesentery of the distal small intestine and the vaginal vault in association with portal hypertension secondary to Laennec's cirrhosis.CASE REPORTPatient I. C., a 40-year-old white woman,...References1. MCINDOE AH: Vascular lesions of portal cirrhosis. Arch. Path. (Chicago) 5: 23, 1928. Google Scholar2. LEVYHARDINSHIPPKEELING JSJHHJH: Varices of cecum as an unusual source of gastrointestinal bleeding. Gastroenterology 33: 637, 1957. CrossrefMedlineGoogle Scholar3. BLOORORR KWM: A case of haemorrhage from varices in the small intestine due to portal hypertension. Brit. J. Surg. 48: 423, 1961. CrossrefGoogle Scholar4. MORENOROUSSELOTPANKE AHLMWF: Studies on portal hypertension. II. Correlation between severity of pathologic involvement of the portal system and variations in tension. Surg. Clin. N. Amer. 38: 421, 1958. CrossrefMedlineGoogle Scholar5. MILLERKANAVEL SMAB: Uncomplicated varicose veins of the female pelvis. Amer. J. Obstet. 51: 480, 1905. Google Scholar6. FOTHERGILL WE: Varicocele in the female. Brit. Med. J. 2: 925, 1921. CrossrefMedlineGoogle Scholar7. TOYAMAMURATASEFUJI JHT: [Varix of vaginal wall] (Jap.). J. Showa Med. Ass. 22: 477, 1963. Google Scholar8. SHERLOCKWALSHE SV: The use of a portal anastomotic vein for absorption studies in man. Clin. Sci. 6: 113, 1946. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MARY JEANNE KREEK, M.D.; JOSEPH V. RAZIANO, M.D.; ROBERT E. HARDY, M.D.; GRAHAM H. JEFFRIES, M.B.Affiliations: New York, New YorkFrom the Department of Medicine and the Department of Obstetrics and Gynecology, Cornell University Medical College, New York, N. Y.Dr. Kreek is a Research Fellow, Department of Medicine, Cornell University Medical College, supported by postdoctoral research fellowship F2 A.M.-30, 036, U. S. Public Health Service, Washington, D. C. Dr. Raziano is a Fellow, Department of Obstetrics and Gynecology, Cornell University Medical College.Requests for reprints should be addressed to Mary Jeanne Kreek, M.D., The New York Hospital—Cornell Medical Center, 525 E. 68th St., Room F-231, New York, N. Y. 10021. 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