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Jejunal variceal bleeding successfully treated with percutaneous coil embolization.
J Korean Med Sci. 2012 Mar; 27(3):321-4.JK

Abstract

A 52-yr-old male with alcoholic liver cirrhosis was hospitalized for hematochezia. He had undergone small-bowel resection due to trauma 15 yr previously. Esophagogastroduodenoscopy showed grade 1 esophageal varices without bleeding. No bleeding lesion was seen on colonoscopy, but capsule endoscopy showed suspicious bleeding from angiodysplasia in the small bowel. After 2 weeks of conservative treatment, the hematochezia stopped. However, 1 week later, the patient was re-admitted with hematochezia and a hemoglobin level of 5.5 g/dL. Capsule endoscopy was performed again and showed active bleeding in the mid-jejunum. Abdominal computed tomography revealed a varix in the jejunal branch of the superior mesenteric vein. A direct portogram performed via the transhepatic route showed portosystemic collaterals at the distal jejunum. The patient underwent coil embolization of the superior mesenteric vein just above the portosystemic collaterals and was subsequently discharged without re-bleeding. At 8 months after discharge, his condition has remained stable, without further bleeding episodes.

Authors+Show Affiliations

Institute for Digestive Research and Digestive Disease Center, Department of Gastroenterology, Soonchunhyang University Hospital, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22379346

Citation

Koo, So My, et al. "Jejunal Variceal Bleeding Successfully Treated With Percutaneous Coil Embolization." Journal of Korean Medical Science, vol. 27, no. 3, 2012, pp. 321-4.
Koo SM, Jeong SW, Jang JY, et al. Jejunal variceal bleeding successfully treated with percutaneous coil embolization. J Korean Med Sci. 2012;27(3):321-4.
Koo, S. M., Jeong, S. W., Jang, J. Y., Lee, T. H., Jeon, S. R., Kim, H. G., Kim, J. O., & Kim, Y. J. (2012). Jejunal variceal bleeding successfully treated with percutaneous coil embolization. Journal of Korean Medical Science, 27(3), 321-4. https://doi.org/10.3346/jkms.2012.27.3.321
Koo SM, et al. Jejunal Variceal Bleeding Successfully Treated With Percutaneous Coil Embolization. J Korean Med Sci. 2012;27(3):321-4. PubMed PMID: 22379346.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Jejunal variceal bleeding successfully treated with percutaneous coil embolization. AU - Koo,So My, AU - Jeong,Soung Won, AU - Jang,Jae Young, AU - Lee,Tae Hee, AU - Jeon,Seong Ran, AU - Kim,Hyun Gun, AU - Kim,Jin Oh, AU - Kim,Yong Jae, Y1 - 2012/02/23/ PY - 2011/05/02/received PY - 2011/11/04/accepted PY - 2012/3/2/entrez PY - 2012/3/2/pubmed PY - 2012/7/12/medline KW - Abdominal Computed Tomography KW - Capsule Endoscopy KW - Embolization KW - Hematochezia KW - Jejunal Varices SP - 321 EP - 4 JF - Journal of Korean medical science JO - J. Korean Med. Sci. VL - 27 IS - 3 N2 - A 52-yr-old male with alcoholic liver cirrhosis was hospitalized for hematochezia. He had undergone small-bowel resection due to trauma 15 yr previously. Esophagogastroduodenoscopy showed grade 1 esophageal varices without bleeding. No bleeding lesion was seen on colonoscopy, but capsule endoscopy showed suspicious bleeding from angiodysplasia in the small bowel. After 2 weeks of conservative treatment, the hematochezia stopped. However, 1 week later, the patient was re-admitted with hematochezia and a hemoglobin level of 5.5 g/dL. Capsule endoscopy was performed again and showed active bleeding in the mid-jejunum. Abdominal computed tomography revealed a varix in the jejunal branch of the superior mesenteric vein. A direct portogram performed via the transhepatic route showed portosystemic collaterals at the distal jejunum. The patient underwent coil embolization of the superior mesenteric vein just above the portosystemic collaterals and was subsequently discharged without re-bleeding. At 8 months after discharge, his condition has remained stable, without further bleeding episodes. SN - 1598-6357 UR - https://www.unboundmedicine.com/medline/citation/22379346/Jejunal_variceal_bleeding_successfully_treated_with_percutaneous_coil_embolization_ L2 - https://jkms.org/DOIx.php?id=10.3346/jkms.2012.27.3.321 DB - PRIME DP - Unbound Medicine ER -