A 42-year-old man comes to the emergency department vomiting blood. He has a history of alcohol dependence and hepatic cirrhosis and has had two previous episodes of esophageal variceal bleeding in the past 2 years. Endoscopy shows bleeding esophageal varices. Which of the following portosystemic communications best explains his recurrent bleeding? A) Left gastric vein with the azygos veins B) Paraumbilical vein with epigastric veins C) Splenic vein with portal vein D) Superior (rectal) hemorrhoidal veins with inferior (rectal) hemorrhoidal veins

Surgical Tech For Surgical Tech Pos Care
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Chapter4: Special Populations
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 A 42-year-old man comes to the emergency department vomiting blood. He has a history of alcohol dependence and hepatic cirrhosis and has had two previous episodes of esophageal variceal bleeding in the past 2 years. Endoscopy shows bleeding esophageal varices. Which of the following portosystemic communications best explains his recurrent bleeding?
A) Left gastric vein with the azygos veins B) Paraumbilical vein with epigastric veins C) Splenic vein with portal vein

D) Superior (rectal) hemorrhoidal veins with inferior (rectal) hemorrhoidal veins

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