Jejunal variceal bleeding after esophageal transection in a patient with idiopathic portal hypertension

Shin Ichiro Migou, Makoto Hashizume, Kouji Tsugawa, Fumiaki Kishihara, Hirofumi Kawanaka, Masayuki Ohta, Kazuo Tanoue, Toshiro Kuroiwa, Kenji Kawamoto, Keizo Sugimachi

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10 Citations (Scopus)

Abstract

This report describes a 38-year-old man with massive gastrointestinal bleeding from jejunal varices. He had been previously diagnosed to have idiopathic portal hypertension and esophageal varices, and had undergone an esophageal transection 8 years earlier. The pre-operative diagnosis was a suspected hemorrhage from the small intestine as visualized by 99mTc-HSAD scintigraphy (technetium 99m-labeled human serum albumin D-type) and was not considered to be repeated massive lower GI tract bleeding. An exploratory laparotomy was performed, and intra-operative endoscopy revealed active bleeding from the jejunal varices. A partial resection of the small intestine resulted in a complete resolution of the bleeding. A review of the literature thereafter disclosed twelve previously reported cases of jejunal variceal bleeding.

Original languageEnglish
Pages (from-to)503-507
Number of pages5
JournalHepato-gastroenterology
Volume45
Issue number20
Publication statusPublished - 1998

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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