Copyright
©2006 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Sep 7, 2006; 12(33): 5412-5415
Published online Sep 7, 2006. doi: 10.3748/wjg.v12.i33.5412
Published online Sep 7, 2006. doi: 10.3748/wjg.v12.i33.5412
An unusual cause of hematemesis: Goiter
Astrid AM van der Veldt, Mohammed Hadithi, Chris JJ Mulder, Mikael E Craanen, Department of Gastroenterology, VU University Medical Center, Amsterdam, The Netherlands
Marinus A Paul, Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands
Fred G van den Berg, Department of Radiology, VU University Medical Center, Amsterdam, The Netherlands
Correspondence to: Dr. Astrid AM van der Veldt, PO Box 7057, Amsterdam 1007 MB, The Netherlands. aam.vanderveldt@vumc.nl
Telephone: +31-20-4440613
Received: March 7, 2006
Revised: March 28, 2006
Accepted: May 22, 2006
Published online: September 7, 2006
Revised: March 28, 2006
Accepted: May 22, 2006
Published online: September 7, 2006
Abstract
Downhill varices are located in the upper part of the esophagus and are usually related to superior vena cava obstruction. Bleeding from these varices is extremely rare. We describe a 77-year-old patient with hematemesis due to downhill varices as a result of recurrent goiter. A right lobe thyroidectomy was carried out with disappearance of the varices.
Keywords: Downhill, Esophageal, Varices, Goiter, Hematemesis