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03 July 2019 : Case report  USA

Successful Treatment of a Case of Ectopic Jejunal Varices with Portal Venous Stenting

Unusual clinical course, Unusual setting of medical care, Educational Purpose (only if useful for a systematic review or synthesis)

Abubaker O. Abdalla1BEF*, Mohamed A. Abdallah2E, Lisa A. Calvo1E

DOI: 10.12659/AJCR.916003

Am J Case Rep 2019; 20:948-952

Abstract

BACKGROUND: Management of patients with ectopic variceal bleeding can be challenging and requires a multidisciplinary approach. Ectopic bleeding from jejunal varices at the anastomotic site of choledochojejunostomy is rare and difficult to treat.

CASE REPORT: We report a case of ectopic jejunal variceal bleeding secondary to portal vein stenosis at the anastomotic site of a prior choledochojejunostomy for pancreatic cancer. The patient was successfully treated with portal vein metallic stent placement that remained patent for 7 months.

CONCLUSIONS: The management of ectopic of variceal bleeding remains difficult and controversial. Portal vein stenting has been reported as a successful method of treatment that is minimally invasive especially in patients who had prior major surgeries.

Keywords: Gastrointestinal Hemorrhage, Jejunal Diseases, Portal Vein, Aged, Choledochostomy, Constriction, Pathologic, Hypertension, Portal, Jejunum, Palliative Care, Stents, Treatment Outcome, Varicose Veins

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923