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

• Authors: Beyza Ozcinar , Kemal Dolay , Hakan Yanar , Korhan Taviloglu , Cemalettin Ertekin , Adem Ucar , Recep Guloglu , Rebecca Plevin , Mehmet Kurtoglu
• 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.

Keywords

EN

Duodenal varices; Jejunal varices; Superior mesenteric vein thrombosis; Lower gastrointestinal tract bleeding

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2010
• Volume: 5
• Issue: 6
• Pages: 719-723

Dates

published

1 - 12 - 2010

online

7 - 10 - 2010

Contributors

author

Beyza Ozcinar

• Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey

author

Kemal Dolay

• Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey

author

Hakan Yanar

• Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey

author

Korhan Taviloglu

• Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey

author

Cemalettin Ertekin

• Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey

author

Adem Ucar

• Istanbul Faculty of Medicine, Radiodiagnostic Department, Istanbul University, 34190, Istanbul, Turkey

author

Recep Guloglu

• Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey

author

Rebecca Plevin

• Los Angeles County, University of Southern California Medical Center, Los Angeles, CA, 90007, USA

author

Mehmet Kurtoglu

• Istanbul Faculty of Medicine, Trauma and Emergency Medicine Service, Istanbul University, 34190, Istanbul, Turkey

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Identifiers

DOI

10.2478/s11536-009-0133-3