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, Choledochostomy, Constriction, Pathologic, Hypertension, Portal, Jejunum, Palliative Care, Stents, Varicose Veins