1.
J Clin Exp Hepatol
; 4(1): 63-5, 2014 Mar.
Article
in English
| MEDLINE
| ID: mdl-25755536
ABSTRACT
Hemorrhage from downhill varices is a rare manifestation. The etiology of downhill varices is due to superior vena cava obstruction while uphill varices are secondary to portal hypertension. We report a rare case of 55-year-old female with bleeding downhill varices not associated with obstruction or compression of superior vena cava, but was due to severe pulmonary artery hypertension secondary to chronic rheumatic heart disease.