scholarly journals Ectopic Variceal Bleeding From Chronic Superior Mesenteric Vein Thrombosis After Hemorrhagic Pancreatitis

Author(s):  
Kathryn Flynn ◽  
Kevin Chung ◽  
Thomas Brooke ◽  
Jonathan Keung

Varices are a common cause of gastrointestinal bleed, but a small percentage of these bleeds are due to ectopic varices. This case presents bleeding ectopic varices in the third part of the duodenum with portal hypertension secondary to chronic superior mesenteric vein thrombosis that developed after hemorrhagic pancreatitis.

Open Medicine ◽  
2010 ◽  
Vol 5 (6) ◽  
pp. 719-723
Author(s):  
Beyza Ozcinar ◽  
Kemal Dolay ◽  
Hakan Yanar ◽  
Korhan Taviloglu ◽  
Cemalettin Ertekin ◽  
...  

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.


Surgery ◽  
2003 ◽  
Vol 133 (2) ◽  
pp. 222-223 ◽  
Author(s):  
Stéphane Benoist ◽  
Marie-jo Laisné ◽  
Francisca Joly ◽  
Mourad Boudiaf ◽  
Yves Panis ◽  
...  

2007 ◽  
Vol 40 (2) ◽  
pp. 204-208 ◽  
Author(s):  
Toshiki Yamakawa ◽  
Yuji Onoda ◽  
Ryuichirou Ohashi ◽  
Sadanobu Izumi ◽  
Ichio Suzuka ◽  
...  

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