Complicated esophageal varicose bleeding and myocardial infarction

Year 2013, Volume: 30 Issue: 2, 183 - 185, 31.07.2013

Talat Ayyıldız Elif Çolak Uğur Arslan Oğuzhan Yücel

https://doi.org/10.5835/jecm.omu.30.02.020

Abstract

Variceal bleeding is one of the most important complications in the patients with liver cirrhosis and also has high morbidity and mortality. For this reason, primary prophylaxis and treatment modality of the variceal bleeding are very important. Many clinical and physiological factors are useful in predicting the risk of variceal bleeding in patients with cirrhosis. In this case report, an esophageal varice bleeding in a patient with end-stage
decompensated cryptogenic liver cirrhosis requiring 62 units of blood transfusion and its complications were discussed. Especially, the relation with myocardial infarction (MI) developing after bleeding was evaluated.

Keywords

Cirrhosis, Esophageal varices, Myocardial infarction, Terlipressin

References

• Dave, P., Romeu, J., Messer, J.,1983.Upper gastrointestinal bleeding in patients with portal hypertension: A reappraisal. J. Clin. Gastroenterol. 5, 113-115.
• Garcia-Tsao, G., Bosch, J. N., 2010. Management of varices and variceal hemorrhage in cirrhosis. Engl J Med. 362, 823-832.
• Lee, M.Y., Chu, C.S., Lee, K.T., Lee H.C., Su, H.M., Cheng, K.H., Sheu, S.H., Kaohsiung, W.L., 2004. Terlipressin-related acute myocardial infarction: A case report and literature review. J. Med. Sci. 20, 604-608.
• Odelowo, O.O., Smoot, D.T., Kim, K., 2002. Upper gastrointestinal bleeding in patients with liver cirrhosis. J. Natl. Med. Assoc. 94, 712-715. Rosario R., Lalanne B., Lebre P., Lepesan, D., Martelet, J.P., Dupont, M., Camatte, R., Lambot, G., Bourlière, M., 1996. Myocardial infarction after injection of terlipressin for digestive hemorrhage. Gastroenterol. Clin. Biol. 20, 712-713.
• Smith, J.L., Graham, D.Y., 1982.Variceal hemorrhage: A critical evaluation of survival analysis. Gastroenterology. 82, 968-973.