Duodeno-jejunal Varicosities After Portal Vein Thrombosis
Author Information
Author(s): Nick Varsamidakis, Brian R. Davidson, Kenneth Hobbs
Primary Institution: Royal Free Hospital
Hypothesis
Bleeding from collateral vessels at the site of a duodeno-jejunostomy in a patient with extrahepatic portal vein thrombosis has not previously been reported.
Conclusion
The patient experienced gastrointestinal bleeding from varicosities at the site of a duodeno-jejunostomy, which was successfully treated with surgical resection.
Supporting Evidence
- Endoscopy revealed bleeding varicosities at the site of the duodeno-jejunostomy.
- Angiography showed occlusion of the portal vein with extensive collateral circulation.
- The patient had a history of recurrent melena episodes since childhood.
Takeaway
A man had bleeding from his stomach because of swollen veins where he had surgery as a baby, and doctors fixed it by removing part of his intestine.
Methodology
The case involved endoscopy, angiography, and surgical resection of the affected bowel segment.
Limitations
The follow-up period was relatively brief, preventing long-term assessment of the surgical outcome.
Participant Demographics
A 31-year-old man with a history of duodenal atresia and recurrent gastrointestinal bleeding.
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