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19 April 2022: Articles

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 Rassow A , Stefan Büttner D , Axel Thalhammer B , Nora Marie Huber B , Michael Heise B , Kai-Henrik Peiffer B , Despina Avaniadi B , Julia Seifert B , Helmut Geiger D , Wolf Otto Bechstein B , Ursula Pession B , Ingeborg Anni Hauser A*

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