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Journal
2010 | 5 | 6 | 719-723
Article title

Duodenal and jejunal varices due to superior mesenteric vein thrombosis presenting as a massive gastrointestinal tract bleeding: a case report

Content
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Languages of publication
EN
Abstracts
EN
Duodenal and jejunal varices usually occur due to portal hypertension and are rare causes of gastrointestinal tract bleeding. We report the case of a patient with no clinically significant history of a coagulopathy disorder, cirrhosis, or portal hypertension who presented with duodenal and jejunal varices that resulted in lower gastrointestinal bleeding with superior mesenteric vein thrombosis. Mesenteric angiography revealed superior mesenteric vein thrombosis and varices at the fourth part of the duodenum and the proximal jejunum draining into the main portal vein, but no active bleeding source was recognized. The patient was hemodynamically unstable. Emergency laparotomy was performed and revealed duodenal and jejunal varices, with occlusion of the superior mesenteric vein. Partial resection of the duodenum and jejunum and end-to-end anastomosis were performed. After surgery, the patient was hemodynamically stable with no recurrence of bleeding.
Publisher

Journal
Year
Volume
5
Issue
6
Pages
719-723
Physical description
Dates
published
1 - 12 - 2010
online
7 - 10 - 2010
Contributors
author
  • Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey, beyzaozcinar@yahoo.com
author
  • Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey
author
  • Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey
  • Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey
  • Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey
author
  • Istanbul Faculty of Medicine, Radiodiagnostic Department, Istanbul University, 34190, Istanbul, Turkey
author
  • Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey
  • Los Angeles County, University of Southern California Medical Center, Los Angeles, CA, 90007, USA
  • Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey
References
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-009-0133-3
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