AI Article Synopsis
- Isolated ectopic varices in the small intestine are rare, often linked to portal hypertension from liver cirrhosis.
- A case study of a 73-year-old man revealed massive gastrointestinal bleeding due to idiopathic jejunal varices, which were surgically treated with successful resection.
- The diagnosis and management of jejunal varices can be difficult, and healthcare professionals should consider idiopathic causes when standard endoscopic examinations fail to identify issues.
Article Abstract
Introduction: Isolated ectopic varices located in the small bowel are uncommon. Portal hypertension caused by liver cirrhosis is the most common predisposing risk factor.
Presentation Of Case: We present an unusual case of massive gastrointestinal bleeding from idiopathic jejunal varices in a 73-year-old Caucasian male without portal hypertension. Exploratory laparotomy disclosed ectopic varices located in the small intestine. Segmental resection of the jejunum with end to end anastomosis resulted in a complete resolution of the haemorrhage. During a 5 year follow up, the patient is stable with no bleeding recurrence.
Discussion: Information on aetiology, diagnosis and management of jejunal varices is reviewed.
Conclusion: Diagnosis and management of isolated jejunal varices is challenging. Surgeons as well as acute care physicians have to consider idiopatic form of jejunal varices as a potential cause of gastrointestinal bleeding when gastroduodenoscopy and colonoscopy are negative.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3731695 | PMC |
| http://dx.doi.org/10.1016/j.ijscr.2013.01.029 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!