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Correspondence
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Volume 345:1503-1504 November 15, 2001 Number 20
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Vesical Varices in a Patient with Portal Hypertension

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To the Editor: Portal hypertension is a frequent consequence of cirrhosis and may lead to dilated venous collaterals. Usually, varices due to portal hypertension develop in the lower esophagus, stomach, or rectum and rarely in other parts of the digestive tract.1 Extraintestinal ectopic varices are very rare. We recently treated a patient with cirrhosis who had gross hematuria from vesical varices.

A 54-year-old woman with ongoing alcohol abuse had a sudden onset of profuse gross hematuria. She had a history of alcoholic liver cirrhosis, complicated by decompensated ascites and ruptures of esophageal varices, and chronic pancreatitis. She had undergone sclerotherapy . . . [Full Text of this Article]

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