Vallecular Varix: A Perplexing Cause of Oral Cavity Bleeding

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 val...

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Bibliographic Details
Main Authors: Marc A. Polacco, Jacob Ossoff, Joseph Paydarfar
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2015-12-01
Series:Western Journal of Emergency Medicine
Online Access:http://escholarship.org/uc/item/3w73562x
Description
Summary: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.
ISSN:1936-900X
1936-9018