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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2005, Number 3

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Rev Mex Angiol 2005; 33 (3)

Urgent Warren’s procedure in massive bleeding in a patient with portal hypertension secondary to congenital fibrosis. Report of a case

Martínez LC, Torres SNA, Alvarado AL, Navarro CVH

Language: Spanish
References: 14
Page: 84-89
PDF size: 467.55 Kb.


ABSTRACT

The handling of the variceal bleeding is multidisciplinary and gradual, the urgent treatment is controversial when one has not any more options to save the patient’s life. We present the case of a masculine patient of 20 years old with secondary portal hypertension to congenital fibrosis, who has run out of options as to the handling in trying to stop the first and second line hematemesis with hypovolemic shock of IV degree, that’s why he underwent an urgent distal esplenorenal shunt (Warren’s procedure). Although we consider that derivative surgery for portal hypertension must follow the protocol route as it has always been the rule, nevertheless we believe that this surgery can be performed in urgent form for young patients with Child A or B when there are no other options for them to survive.


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