Vallecular Varix: A Perplexing Cause of Oral Cavity Bleeding.
Vallecular Varix: A Perplexing Cause of Oral Cavity Bleeding.
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DOI：
10.5811/westjem.2015.10.28598
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发表时间：
2015-12
期刊：
影响因子：
--
通讯作者：
Paydarfar J
中科院分区：
文献类型：
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作者：
Polacco MA;Ossoff J;Paydarfar J
通常只有在大量的咯血和呕血检查后才能发现，静脉曲张是口腔出血的罕见原因，由于诊断延误，增加了患者的发病率。我们描述了一个89岁的男性谁提出了一个星期的间歇性口腔血液生产。在进行呕血和咯血研究（包括食管胃镜检查和支气管镜检查阴性）后，纤维喉镜检查发现谷静脉曲张。了解这种病理和患者病史中的关键点可以指导临床医生正确诊断，加快治疗并限制肺或胃出血病因的侵入性诊断程序。
Often discovered only after an extensive work up for hemoptysis and hematemesis, vallecular varices are a rare cause of oral bleeding that increase patient morbidity due to delay of diagnosis. We describe an 89-year-old male who presented with a week of intermittent oral blood production. A vallecular varix was identified on fiberoptic laryngoscopy after studies for hematemesis and hemoptysis had been performed, including negative esophagogastroduodenoscopy and bronchoscopy. Awareness of this pathology and key points in the patient history can direct the clinician toward the correct diagnosis, expediting treatment and limiting invasive diagnostic procedures for pulmonary or gastric etiologies of bleeding.