Tags

Type your tag names separated by a space and hit enter

A case of variceal bleeding from the jejunum in liver cirrhosis.
Clin Mol Hepatol. 2013 Mar; 19(1):78-81.CM

Abstract

While esophagogastric varices are common manifestations of portal hypertension, variceal bleeding from the jejunum is a rare complication of liver cirrhosis. In addition, ectopic variceal bleeding occurs in the duodenum and at sites of previous bowel surgery in most cases, including of stomas. We report a case of obscure overt gastrointestinal bleeding from jejunal varices in a 55-year-old woman who had not previously undergone abdominal surgery, who had liver cirrhosis induced by the hepatitis C virus. Emergency endoscopy revealed the presence of esophageal varices without stigmata of recent bleeding, and no bleeding focus was found at colonoscopy. She continued to produce recurrent melena with hematochezia and received up to 21 units of packed red blood cells. CT angiography revealed the presence of jejunal varices, but no active bleeding was found. Capsule endoscopy revealed fresh blood in the jejunum. The patient submitted to embolization of the jejunal varices via the portal vein, after which she had a stable hemoglobin level and no recurrence of the melena. This is a case of variceal bleeding from the jejunum in a liver cirrhosis patient without a prior history of abdominal surgery.

Authors+Show Affiliations

Department of Internal Medicine, Eulji University Hospital, Eulji University College of Medicine, Daejeon, Korea.No affiliation info availableNo 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

23593613

Citation

Park, Chan Woong, et al. "A Case of Variceal Bleeding From the Jejunum in Liver Cirrhosis." Clinical and Molecular Hepatology, vol. 19, no. 1, 2013, pp. 78-81.
Park CW, Kim SH, Yang HW, et al. A case of variceal bleeding from the jejunum in liver cirrhosis. Clin Mol Hepatol. 2013;19(1):78-81.
Park, C. W., Kim, S. H., Yang, H. W., Lee, Y. J., Jung, S. H., Song, H. S., Lee, S. O., Kim, A., & Cha, S. W. (2013). A case of variceal bleeding from the jejunum in liver cirrhosis. Clinical and Molecular Hepatology, 19(1), 78-81. https://doi.org/10.3350/cmh.2013.19.1.78
Park CW, et al. A Case of Variceal Bleeding From the Jejunum in Liver Cirrhosis. Clin Mol Hepatol. 2013;19(1):78-81. PubMed PMID: 23593613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of variceal bleeding from the jejunum in liver cirrhosis. AU - Park,Chan Woong, AU - Kim,Sae Hee, AU - Yang,Hyeon Woong, AU - Lee,Yun Jung, AU - Jung,Sung Hee, AU - Song,Ho Sup, AU - Lee,Sang Ok, AU - Kim,Anna, AU - Cha,Sang Woo, Y1 - 2013/03/25/ PY - 2011/11/14/received PY - 2012/01/10/revised PY - 2012/01/24/accepted PY - 2013/4/18/entrez PY - 2013/4/18/pubmed PY - 2013/10/23/medline KW - Jejunal varices KW - Liver cirrhosis KW - Portal hypertension SP - 78 EP - 81 JF - Clinical and molecular hepatology JO - Clin Mol Hepatol VL - 19 IS - 1 N2 - While esophagogastric varices are common manifestations of portal hypertension, variceal bleeding from the jejunum is a rare complication of liver cirrhosis. In addition, ectopic variceal bleeding occurs in the duodenum and at sites of previous bowel surgery in most cases, including of stomas. We report a case of obscure overt gastrointestinal bleeding from jejunal varices in a 55-year-old woman who had not previously undergone abdominal surgery, who had liver cirrhosis induced by the hepatitis C virus. Emergency endoscopy revealed the presence of esophageal varices without stigmata of recent bleeding, and no bleeding focus was found at colonoscopy. She continued to produce recurrent melena with hematochezia and received up to 21 units of packed red blood cells. CT angiography revealed the presence of jejunal varices, but no active bleeding was found. Capsule endoscopy revealed fresh blood in the jejunum. The patient submitted to embolization of the jejunal varices via the portal vein, after which she had a stable hemoglobin level and no recurrence of the melena. This is a case of variceal bleeding from the jejunum in a liver cirrhosis patient without a prior history of abdominal surgery. SN - 2287-285X UR - https://www.unboundmedicine.com/medline/citation/23593613/A_case_of_variceal_bleeding_from_the_jejunum_in_liver_cirrhosis_ L2 - http://e-cmh.org/journal/view.php?doi=10.3350/cmh.2013.19.1.78 DB - PRIME DP - Unbound Medicine ER -