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Superior mesenteric venous (SMV) varices

Case contributed by Donna D'Souza
Diagnosis almost certain

Patient Data

Gender: Female

This patient has alcoholic cirrhosis and severe portal hypertension.  She presented with bright red GI bleeding from her stoma.  A superior mesenteric venogram was performed (via transhepatic portal vein puncture) to identify a source of bleeding. Unfortunately no contrast extravasation was seen, therefore a site of active bleeding was not identified. 

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