Extract
A 56-year-old woman with alcohol-related liver cirrhosis presented with haematemesis and melena. On arrival, observations were oxygen saturation measured by pulse oximetry 97% on room air, blood pressure 77/44 mmHg, heart rate 127 per min, respiratory rate 24 per min, temperature 36.5°C and alert. The blood tests showed haemoglobin 65 g⋅L−1 and urea 23 mg⋅dL−1. After initial resuscitation with intravenous fluids, she was given a transfusion of 2 units packed red cells, 2 units fresh frozen plasma, 1 unit platelets and 2 mg terlipressin.
Abstract
Can you diagnose this rare complication following an endoscopic intervention in this patient with alcohol-related liver cirrhosis presenting with haematemesis and melena? http://ow.ly/z7Yg30jEHxw
Acknowledgements
We would like to thank consultant radiologist Danial Fox (Musgrove Park Hospital, Taunton and Somerset NHS Trust, Taunton, UK) for selecting the best representative CT scan sections for the article.
Footnotes
Conflict of interest: None declared.
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