Jejunocaval Shunt for Bleeding-Jejunal Varices-a Case Report-

Miyasaka, Yoshihiro; Katoh, Hiroyuki; Takahashi, Toshiyuki; Nakajima, Kimihiro; Dohke, Mitsuru; Okushiba, Syunichi; Shimozawa, Eiji; Tanabe, T.

doi:10.3919/ringe1963.54.2854

Cited by 1 publication

(2 citation statements)

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“…As shown in Table 1, we found only eight reports with an English language abstract from Japan. [3][4][5][6][7][8][9][10] The site of the varices was the jejunum in seven of the eight patients. Therefore, it appears that ileal varices are very rare in Japan.…”

Section: Discussionmentioning

confidence: 99%

“…We report a rare case of bleeding from ileal varices in a patient with hepatitis C virus-positive liver cirrhosis, and review reports of jejuno-ileal varices in Japan. [3][4][5][6][7][8][9][10] Case report A 66-year old woman with a 7-year history of hepatitis C virus (HCV)-positive liver cirrhosis was admitted to our hospital on November 4, 1997 because she had passed a large amount of bright red blood per rectum. She had a history of laparotomy and blood transfusion for an extrauterine pregnancy 36 years previously, and endoscopic sclerotherapy for esophageal varices had been performed 1 year previously.…”

Section: Introductionmentioning

confidence: 99%

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Ileal varices associated with recurrent bleeding in a patient with liver cirrhosis

Ohtani

Kajiwara

Suzuki

et al. 1999

Journal of Gastroenterology

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We report a rare case of massive and recurrent bleeding from ileal varices in a patient with hepatitis C virus-positive liver cirrhosis. A 66-year old woman, who had undergone laparotomy and blood transfusion 36 years before (because of an extrauterine pregnancy) and endoscopic sclerotherapy for esophageal varices 1 year previously, was admitted to our hospital with loss of bright red blood per rectum. The bleeding was massive and recurrent, and frequent blood transfusions were required. Endoscopic studies failed to find the bleeding site. In the venous phase of selective superior mesenteric angiography, mesenteric varices in the lower part of the abdominal cavity were observed. Laparotomy was performed to control the repeated bleeding which had lasted for more than 1 month. Varices communicating with the right ovarian vein were found on the ileal wall and segmental resection of the ileum was performed. Histological examination demonstrated a massive varicose vein and several dilated veins in the submucosa. The patient's postoperative course was favorable, with no hemorrhagic events during a follow-up of more than 6 months after surgery. Ileal varices should be considered in the diagnosis of a patient who presents with lower gastrointestinal bleeding and portal hypertension.

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