An unusual cause of hematemesis： Goiter

• Published in: World journal of gastroenterology : WJG Vol. 12; no. 33; pp. 5412 - 5415
• Main Authors: van der Veldt, Astrid A M, Hadithi, Mohammed, Paul, Marinus A, van den Berg, Fred G, Mulder, Chris J J, Craanen, Mikael E
• Format: Journal Article
• Language: English
• Published: United States Department of Gastroenterology, VU University Medical Center, Amsterdam, The Netherlands%Department of Surgery, VU University Mejical Center, Amsterdam, The Netherlands%Department of Radiology, VU University Medical Center, Amsterdam, The Netherlands 07.09.2006; Baishideng Publishing Group Co., Limited
• Subjects: Aged; Case Report; Female; Goiter - complications; Goiter - diagnosis; Hematemesis - complications; Hematemesis - diagnosis; Humans; Models, Anatomic; Models, Biological; Thyroid Gland - pathology; Thyroidectomy - methods; Treatment Outcome; Varicose Veins - diagnosis; Varicose Veins - pathology; 甲状腺肿; 病理机制; 静脉曲张; 食管疾病; Downhill; Varices; Esophageal; Goiter; Hematemesis
• ISSN: 1007-9327; 2219-2840
• DOI: 10.3748/wjg.v12.i33.5412

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.