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19 April 2022 : Case report  Germany

A 55-Year-Old Man with Recurrent Gastrointestinal Bleeding Due to Stricture of the Portal Vein Anastomotic Site 12 Years After Combined Pancreas and Kidney Transplantation

Challenging differential diagnosis, Rare disease

Steffen Rassow12ABCDEF, Stefan Büttner ORCID logo1DE, Axel Thalhammer3B, Nora Marie Huber1B, Michael Heise4B, Kai-Henrik Peiffer5BE, Despina Avaniadi1B, Julia Seifert1BD, Helmut Geiger1D, Wolf Otto Bechstein ORCID logo4BCDE, Ursula Pession4BE, Ingeborg Anni Hauser1ACDE*

DOI: 10.12659/AJCR.936148

Am J Case Rep 2022; 23:e936148

Table 1. Case reports of jejunal varices with their cause, condition, and treatment in patients without pancreas-kidney transplantation.

SourceCause of duodenal varicesPortal hypertensionHepatic |cirrhosisTreatment
Robert et al (2010) []8 Hepatic cirrhosis, segmental resection of intestine in herniaYesYesCoil embolization
Koo et al (2011) []9 Hepatic cirrhosis, small-bowel resection due to traumaYesYesCoil embolization
Hiraoka et al (2001) []10 Case 1&2: portal vein stenosis pancreaticoduodenectomy with intraoperative radiation therapy Respectively choledocojejunostomyYesNoCase 1&2: balloon dilatation; Case 2: Stent placement
Lein et al (1992) []11 Pancreatitis and Roux-en-Y cholecystojejunostomyYesNoResection of involved jejunal segment
Deshpande et al (2008) []13 No more detailed abdominal surgeryNoNoResection of involved jejunal segment
Gonçalves et al (2015) []14 Pylorus-preserving pancreatoduodenectomy in pancreatic adenocarcinomaInjection of a mixture of cyano-acrylate and Lipiodol
Kastanakis et al (2013) []15 CholecystectomyNoNoResection of involved jejunal segment

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