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Titolo:
Massive gastrointestinal bleeding from jejunal varices
Autore:
Joo, YE; Kim, HS; Choi, SK; Rew, JS; Kim, HR; Kim, SJ;
Indirizzi:
Chonnam Natl Univ, Sch Med, Dept Internal Med, Dong Ku, Kwangju 501757, South Korea Chonnam Natl Univ Kwangju South Korea 501757 Kwangju 501757, South Korea
Titolo Testata:
JOURNAL OF GASTROENTEROLOGY
fascicolo: 10, volume: 35, anno: 2000,
pagine: 775 - 778
SICI:
0944-1174(200010)35:10<775:MGBFJV>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Keywords:
jejunal varices; liver cirrhosis; gastrointestinal bleeding; mesenteric varices;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Joo, YE Chonnam Natl Univ, Sch Med, Dept Internal Med, Dong Ku, 8 Hak Dong, Kwangju 501757, South Korea Chonnam Natl Univ 8 Hak Dong Kwangju South Korea 501757 uth Korea
Citazione:
Y.E. Joo et al., "Massive gastrointestinal bleeding from jejunal varices", J GASTRO, 35(10), 2000, pp. 775-778

Abstract

We report a patient with massive gastrointestinal bleeding from jejunal varices, confirmed by emergency laparotomy. A 54-year-old woman was admitted to Chonnam National University Hospital with a 5-day history of melena withhematochezia. Fifteen years previously, she had undergone cholecystectomy for gallstone. Seven years previously, she had undergone an operation because of possible common bile duct stone. The details of this operation were not known. Upper gastrointestinal endoscopy revealed no varices in the esophagus, stomach, and proximal duodenum. Colonoscopy demonstrated black-colored blood clots throughout the colon. A technetium-99m-labeled red blood cell(RBC) scan showed active proximal small bowel bleeding. Abdominal aortic angiography revealed mesenteric varices in the upper abdomen, but no active bleeding source was recognized. Because of the patient's continued massive gastrointestinal bleeding despite medical therapy, emergency laparotomy wasperformed. We found evidence of micronodular cirrhosis of the liver and anapparent Roux-en-Y anastomosis. There were numerous collateral variceal vessels in the jejunal limb with the liver and abdominal wall. Segmental resection of the involved jejunum and end-to-end anastomosis were performed. Histologic examination revealed dilated submucosal veins with mucosal erosion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 03:02:00