An unusual cause of hematemesis:Goiter

作     者：Astrid AM van der Veldt Mohammed Hadithi Marinus A Paul Fred G van den Berg Chris JJ Mul-der Mikael E Craanen 

作者机构：Department of Gastroenterology VU University Medical Center Amsterdam The Netherlands Department of Surgery VU University Medical Center Amsterdam The Netherlands Department of Radiology VU University Medical Center Amsterdam The Netherlands 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2006年第12卷第33期

页      面：5412-5415页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：ACKN0WLEDGMENTS The authors thank Ms.Bertholet for illustrating the manuscript 

主　　题：Downhill Esophageal Varices Goiter Hematemesis 

摘      要：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.