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

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

(Department to Internal Medicine, University of Nevada, School of Medicine, Reno, USA)

Am J Case Rep 2019; 20:948-952

DOI: 10.12659/AJCR.916003


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.

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