Unerwartete Komplikation nach Ösophagusvarizenblutung – Fall 2/2011
C R Werner, R Riessen, M Gregor, M Bitzer · DMW - Deutsche Medizinische Wochenschrift · 2011 · Heft 05 · S. 217
Bibliografische Angaben
Zusammenfassung
Abstract HISTORY AND ADMISSION FINDINGS: A 50-year-old patient with alcoholic liver cirrhosis was admitted due to hematemesis and melaena. DIAGNOSIS: Endoscopy showed esophageal variceal hemorrhage. A dose of erythromycin was administered before endoscopy for optimal endoscopic view. TREATMENT AND COURSE: After conservative treatment with hemopressin, ciprofloxacin, and substitution with blood and fresh frozen plasma, the patient had an episode of atrial fibrillation with rapid ventricular response. The episode was terminated by intravenous administration of amiodarone, with subsequent conversion to sinus rhythm…