Massive Hemorrhage From Rectal Varices Secondary to Portal Hypertension in Alcoholic Cirrhosis

Authors

Rizwan Ahmed, Beaumont Health Resident
Nathan Parry, Oakland University William Beaumont School of Medicine Medical Student
Julie A. Kado, Beaumont Health
Roy G. Soto, Beaumont Health

Document Type

Conference Proceeding - Restricted Access

Publication Date

10-11-2021

Abstract

A 37-year old male with past medical history of alcoholic cirrhosis (MELD 40) with known portal hypertension and prior episodes of variceal bleeding presented with acute hypotension. He had been admitted to the ICU for decompensated cirrhosis. He became acutely hypotensive after a bloody bowel movement and on examination he was found to have significant rectal hemorrhage with initiation of massive transfusion, multiple vasopressors, PCC, and TXA. Due to hemodynamic instability, patient underwent bedside examination and suture ligation of hemorrhagic variceal complexes. With this case we will discuss the pathophysiology, management, and treatment of rectal varices and pulmonary hypertension.

Comments

American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.

Recommended Citation

Ahmed R, Parry N, Kado JA, Soto RG. Massive hemorrhage from rectal varices secondary to portal hypertension in alcoholic cirrhosis. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/5765