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Medical Science Monitor Basic Research


Successful Treatment of a Case of Ectopic Jejunal Varices with Portal Venous Stenting

Unusual clinical course, Unusual setting of medical care, Educational Purpose (only if useful for a systematic review or synthesis)

Abubaker O. Abdalla, Mohamed A. Abdallah, Lisa A. Calvo

USA Department to Internal Medicine, University of Nevada, School of Medicine, Reno, NV, USA

Am J Case Rep 2019; 20:948-952

DOI: 10.12659/AJCR.916003

Available online: 2019-07-03

Published: 2019-07-03


BACKGROUND: Management of patients with ectopic variceal bleeding can be challenging and requires a multidisciplinary approach. Ectopic bleeding from jejunal varices at the anastomotic site of choledochojejunostomy is rare and difficult to treat.
CASE REPORT: We report a case of ectopic jejunal variceal bleeding secondary to portal vein stenosis at the anastomotic site of a prior choledochojejunostomy for pancreatic cancer. The patient was successfully treated with portal vein metallic stent placement that remained patent for 7 months.
CONCLUSIONS: The management of ectopic of variceal bleeding remains difficult and controversial. Portal vein stenting has been reported as a successful method of treatment that is minimally invasive especially in patients who had prior major surgeries.

Keywords: Gastrointestinal Hemorrhage, Jejunal Diseases, Portal Vein