Portal Hypertension With Varices in Unusual Sites

Hamlyn, A.N.; Morris, Jenny; Lunzer, MichaelR.; Puritz, H.; Dick, Robert

doi:10.1016/s0140-6736(74)90283-9

Cited by 109 publications

(34 citation statements)

References 12 publications

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“…5,6 Moreover, ectopic varices tend to develop in the duodenum, jejunum, ileum, colon, and rectum, and at enterostomy sites. 7 In some patients with a history of cholangiojejunostomy, portal hypertension may occur as a result of subsequent extrahepatic portal venous stenosis or obstruction, leading to the development of hepatopetal portal collaterals through the anastomosis. The resulting varices in the afferent loop can rupture and bleed.…”

Section: Discussionmentioning

confidence: 99%

Successful embolization therapy for bleeding from jejunal varices after choledochojejunostomy: Report of a case

et al. 2010

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We report a case of successful embolization of jejunal varices that were the cause of massive gastrointestinal bleeding from a choledochojejunostomy site, resulting from obstruction of the extrahepatic portal vein. A 42-year-old man who had undergone choledochojejunostomy for intrahepatic and choledochal stones was readmitted after he started passing massive dark bloody stools. Gastrointestinal endoscopic examination and angiography could not identify the source of bleeding. Percutaneous transhepatic portography showed obstruction of the right branches of the portal vein. The formation of jejunal varices at the site of choledochojejunostomy was revealed by portography and by cholangioscopy, suggesting the varices as the cause of massive bleeding. Bleeding could not be controlled long-term by cholangioscopic sclerosing therapy. We finally stopped the bleeding by embolizing a jejunal vein to the afferent loop.

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Section: Discussionmentioning

confidence: 99%

Successful embolization therapy for bleeding from jejunal varices after choledochojejunostomy: Report of a case

et al. 2010

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“…Other than ectopic varices seen in esophageal and gastric lesions, they are commonly found in the duodenum and can also be present in the jejunum, ileum, colon, and rectum, as well as at the stoma of an enterostomy and at the site of intestinal anastomosis [5]. Duodenal and jejunal varices typically are associated with both extrahepatic portal vein obstruction and cirrhosis, without an existing hepatic disease they are a very rare cause of GITB.…”

Section: Discussionmentioning

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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“…Resection of the involved segment of the colon is associated with high mortality, if the varices are due to portal hypertension [2,9,11]. In such a case a total portasystemic shunt is indicated to prevent further massive bleeding [2,7,9,16,22]. Resection of the involved segment is the treatment of choice in bleeding idiopathic colonic varices [3].…”

Section: Discussionmentioning

confidence: 99%

Varicosis Coli totalis: Report of a Case of Idiopathic Aetiology

Nikolopoulos

Xynos²,

Datsakis³

et al. 1990

Digestion

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A case of colonic varices manifesting with rectal bleeding in a young patient is presented. There was no evidence of portal hypertension or any other cause. Familial history was also negative. Diagnosis was established by barium enema, colonoscopy and angiography. On colonoscopy, varices involved the entire colon. At operation, dilatation of the subserosal small veins of the entire small and large bowel was confirmed. The patient underwent a subtotal colectomy with ileorectal anastomosis with satisfactory result.

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Portal Hypertension With Varices in Unusual Sites

Cited by 109 publications

References 12 publications

Successful embolization therapy for bleeding from jejunal varices after choledochojejunostomy: Report of a case

Successful embolization therapy for bleeding from jejunal varices after choledochojejunostomy: Report of a case

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

Varicosis Coli totalis: Report of a Case of Idiopathic Aetiology

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