AI Article Synopsis
- Chronic liver disease can cause vascular changes, such as portal hypertension and hepato-pulmonary insufficiency.
- A patient with nonalcoholic cirrhosis showed unusual esophageal lesions resembling spider naevi during an upper gastrointestinal endoscopy.
- Histological analysis revealed dilated blood vessels in the esophagus' mucosal layer, distinct from typical varices, marking a novel finding in relation to cirrhosis.
Article Abstract
Chronic liver disease is known to be associated with several vascular alterations including portal hypertension and hepato-pulmonary insufficiency. We report a case of esophageal vascular lesions resembling spider naevi in a patient with nonalcoholic cirrhosis who underwent an upper gastrointestinal (GI) endoscopy. We observed the presence of multiple white round elevations, 5-6 mm in size, with radiating thin-walled vessels, in the middle and distal esophagus. The histological examination documented the presence of multiple dilated blood vessels in the mucosal layer of the esophagus, with striking thickening of the endothelium wall. There was no evidence of esophagogastric varices, but only of a moderate congestive antral gastropathy. To our knowledge, these endoscopic esophageal findings have not yet been described in cirrhosis.
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| http://dx.doi.org/10.1111/j.1442-2050.2009.01018.x | DOI Listing |
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