Adhesion-related variceal hemorrhage following sclerosis of esophageal varices

R. D. Fry, K. C. Fischer, N. Susman, B. A. Shatz and B. Hulbert
Department of Surgery, Jewish Hospitals of St Louis, Washington University Medical Center, MO.

A 78-year-old woman with portal hypertension had recurrent episodes of lower gastrointestinal hemorrhage two months after bleeding esophageal varices had been successfully treated with endoscopic injection sclerosis. Labeled red blood cell scans and mesenteric angiographic examination allowed a preoperative diagnosis of adhesion-related varices as the cause of bleeding. The problem was successfully treated by dividing the adhesion and resecting the involved small intestine.