Massive Gastrointestinal Bleeding Due to Isolated Jejunal Varices in a Patient With Extrahepatic Portal Hypertension: A Case Report

2016 ◽  
Vol 111 (8) ◽  
pp. 1209-1211 ◽  
Author(s):  
Emad Mansoor ◽  
Ajaypal Singh ◽  
Gregory Nizialek ◽  
Hazel Marie Veloso ◽  
Jeffry Katz ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Hypertension ◽  
Gastrointestinal Bleeding ◽  
Jejunal Varices ◽  
Extrahepatic Portal Hypertension ◽  
Massive Gastrointestinal Bleeding

scholarly journals Massive gastrointestinal bleeding due to isolated jejunal varices in a patient without portal hypertension

2013 ◽  
Vol 4 (5) ◽  
pp. 439-441 ◽  
Author(s):  
Miltiades Kastanakis ◽  
Dimitrios Anyfantakis ◽  
Nikolaos Katsougris ◽  
Emmanouil Bobolakis
Keyword(s):  
Portal Hypertension ◽  
Gastrointestinal Bleeding ◽  
Jejunal Varices ◽  
Massive Gastrointestinal Bleeding

scholarly journals Jejunal Varices as a Cause of Massive Gastrointestinal Bleeding. A Case Report.

1998 ◽  
Vol 45 (2) ◽  
pp. 227-230 ◽  
Author(s):  
NAOFUMI ERIGUCHI ◽  
SHIGEAKI AOYAGI ◽  
MASAO HARA ◽  
TAKASHI MIYAZAKI ◽  
MASATOSHI TANAKA ◽  
...  
Keyword(s):  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Jejunal Varices ◽  
Massive Gastrointestinal Bleeding

Jejunal Perforation as a Result of Massive Gastrointestinal Bleeding from a Duodenal Ulcer

1984 ◽  
Vol 29 (2) ◽  
pp. 109-110
Author(s):  
J. N. Fox ◽  
J. W. W. Thomson
Keyword(s):  
Duodenal Ulcer ◽  
Small Intestine ◽  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Massive Bleeding ◽  
Spontaneous Perforation ◽  
Massive Gastrointestinal Bleeding ◽  
Upper Gastrointestinal

A complication of massive upper gastrointestinal bleeding is presented as a case report of a patient who developed a spontaneous perforation of the small intestine as a result of massive bleeding from a duodenal ulcer

scholarly journals A174 RARE BUT DEADLY: AN APPROACH TO MANAGEMENT OF DUODENAL VARICEAL HEMORRHAGE

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 39-41
Author(s):  
M Dahiya ◽  
M Tomaszewski ◽  
G Ou ◽  
A Ramji
Keyword(s):  
Interventional Radiology ◽  
Case Report ◽  
Portal Hypertension ◽  
Literature Review ◽  
Gastrointestinal Bleeding ◽  
Variceal Bleeding ◽  
Variceal Hemorrhage ◽  
Cyanoacrylate Glue ◽  
Duodenal Varices ◽  
Ectopic Varices

Abstract Background Common etiologies of upper gastrointestinal bleeding (UGIB) in cirrhotic patients with portal hypertension include gastroesophageal varices (GOV), portal hypertensive gastropathy (PHG) and gastric antral vascular ectasia (GAVE). Less commonly, patients with portal hypertension develop varices in ectopic sites, including the rectum, biliary tree and duodenum. Ectopic varices are rare, contributing to 1–5% of all variceal bleeding, of which 17% is from duodenal varices. Aims To describe the management of duodenal variceal hemorrhage. Methods A case report and literature review was performed. Results Case report: We present a case of recurrent UGIB in a 59-year-old male with decompensated cirrhosis due to non-alcoholic steatohepatitis (CP-C; Meld 14). Initial endoscopy was negative for GOV, peptic ulcer, PHG, and GAVE, but an erosion over a mucosal bulge in the third segment of the duodenum was identified, raising possibility of vascular malformation versus ectopic varix. There was active bleeding after water provocation, so clips were deployed for hemostasis. CT imaging showed mesenteric venous collaterals abutting the duodenum, again raising possibility of duodenal varix, which was ultimately confirmed by endoscopic ultrasound (EUS). Patient had recurrent overt bleeding despite beta-blockage for prophylaxis, endoscopic clipping on four separate occasions, attempted angioembolization by interventional radiology, and cyanoacrylate glue. Transjugular intrahepatic porto-systemic shunt (TIPS) was not possible due to portal vein occlusion, so he underwent EUS-guided cyanoacrylate glue a second time. Literature review: Ectopic varices are rare, contributing to 1–5% of all variceal bleeding, of which 17% is from duodenal varices. Duodenal variceal hemorrhage can lead to hemorrhagic shock, and is potentially life threatening, with quoted mortality rates of 40%. Unfortunately, duodenal varices can be difficult to identify. Diagnosis is often delayed due to a combination of lower awareness and endoscopic challenges given the unusual serosal and submucosal location. Evidence-based guidelines for the management of ectopic varices are limited. For this reason, our current management strategies rely heavily on local expertise. Splanchnic vasoconstrictor medication, endoscopic ligation, EUS guided gluing, interventional radiology guided embolization, TIPS, balloon retrograde transvenous obliteration and surgical shunts are potential therapeutic options to manage the acutely bleeding varix. Following a variceal bleed, liver transplantation should be considered in eligible patients with no other contraindications. Conclusions Duodenal varices are a rare, potentially fatal, and underrecognized cause of gastrointestinal bleeding in patients with portal hypertension. Definitive therapy currently relies upon local expertise in the absence of clear guideline-based therapy. Funding Agencies None

Massive gastrointestinal bleeding due to rectovaginal fistula: A rare case report

2021 ◽  
pp. 1-3
Author(s):  
Şehmus ÖLMEZ ◽  
Sevda BAŞ ◽  
Nevin AKÇAER ÖZTÜRK ◽  
Okan DİLEK ◽  
Bünyamin SARITAŞ
Keyword(s):  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Rectovaginal Fistula ◽  
Rare Case ◽  
Massive Gastrointestinal Bleeding ◽  
Rare Case Report
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