Jejunal Varices as a Cause of Massive Gastrointestinal Bleeding. A Case Report.

Eriguchi, Naofumi; Aoyagi, Shigeaki; Hara, Masao; Miyazaki, Takashi; Tanaka, Masatoshi; Toyonaga, Atsushi

doi:10.2739/kurumemedj.45.227

Cited by 13 publications

(7 citation statements)

References 7 publications

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“…Most patients with this condition who experience sudden hematochezia undergo emergency surgery, and the postoperative mortality rate remains high since accurate preoperative diagnosis is often diffi cult. 5,6 An accurate preoperative diagnosis is important for the safe performance of the operation. On the other hand, about 11% of patients with obscure gastrointestinal bleeding are not detected by capsule endoscopy, 7 and the limitations of capsule endoscopy in emergency situations of obscure gastrointestinal bleeding must be considered.…”

Section: Discussionmentioning

confidence: 99%

Ectopic ileal varices associated with recurrent bleeding: Report of a case

Ambiru¹,

Nakamura²,

Mandai

et al. 2011

Surg Today

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Bleeding from ectopic varices of the ileum associated with portal hypertension is occasionally life-threatening. However, it is not easy to make an accurate preoperative diagnosis. A 62-year-old woman presented with hematochezia and anemia. Conventional examinations could not locate the bleeding point, but subsequent capsule endoscopy indicated gastrointestinal bleeding from hemorrhaging ileal varices. Contrast-enhanced abdominal computed tomography, three-dimensioned abdominal computed tomography, and mesenteric angiography demonstrated the presence of ileal and right ovarian varices. The patient then underwent an exploratory laparotomy which confirmed these findings, and resection of the affected ileum and right ovary was performed safely. Capsule endoscopy should be a diagnostic option for patients with obscure gastrointestinal bleeding, and ileal varices should be considered as one of the differential diagnoses.

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Section: Discussionmentioning

confidence: 99%

Ectopic ileal varices associated with recurrent bleeding: Report of a case

Ambiru¹,

Nakamura²,

Mandai

et al. 2011

Surg Today

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“…Isolated jejunal varices are a rare vascular cause of massive gastrointestinal haemorrhage usually described in the setting of portal hypertension (PHT) 1 . We report a very rare case of bleeding isolated jejunal varices in the absence of PHT, which was treated by surgical excision.…”

mentioning

confidence: 97%

“…We report a very rare case of bleeding isolated jejunal varices in the absence of PHT, which was treated by surgical excision. A review of available published work has shown only two such cases reported previously 1,2 …”

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confidence: 99%

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Bleeding Isolated Jejunal Varices Without Portal Hypertension

Deshpande

Sampat

Bhargavan

et al. 2008

ANZ Journal of Surgery

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“…There are a few cases in the literature of patients without portal hypertension who had duodenal or jejunal varices that resulted in GITB [3,4].…”

Section: Introductionmentioning

confidence: 99%

Duodenal and jejunal varices due to superior mesenteric vein thrombosis presenting as a massive gastrointestinal tract bleeding: a case report

et al. 2010

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AbstractDuodenal and jejunal varices usually occur due to portal hypertension and are rare causes of gastrointestinal tract bleeding. We report the case of a patient with no clinically significant history of a coagulopathy disorder, cirrhosis, or portal hypertension who presented with duodenal and jejunal varices that resulted in lower gastrointestinal bleeding with superior mesenteric vein thrombosis. Mesenteric angiography revealed superior mesenteric vein thrombosis and varices at the fourth part of the duodenum and the proximal jejunum draining into the main portal vein, but no active bleeding source was recognized. The patient was hemodynamically unstable. Emergency laparotomy was performed and revealed duodenal and jejunal varices, with occlusion of the superior mesenteric vein. Partial resection of the duodenum and jejunum and end-to-end anastomosis were performed. After surgery, the patient was hemodynamically stable with no recurrence of bleeding.

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Jejunal Varices as a Cause of Massive Gastrointestinal Bleeding. A Case Report.

Cited by 13 publications

References 7 publications

Ectopic ileal varices associated with recurrent bleeding: Report of a case

Ectopic ileal varices associated with recurrent bleeding: Report of a case

Bleeding Isolated Jejunal Varices Without Portal Hypertension

Duodenal and jejunal varices due to superior mesenteric vein thrombosis presenting as a massive gastrointestinal tract bleeding: a case report

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