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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
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.