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  • Title: Jejunal variceal bleeding after esophageal transection in a patient with idiopathic portal hypertension.
    Author: Migou S, Hashizume M, Tsugawa K, Kishihara F, Kawanaka H, Ohta M, Tanoue K, Kuroiwa T, Kawamoto K, Sugimachi K.
    Journal: Hepatogastroenterology; 1998; 45(20):503-7. PubMed ID: 9638437.
    Abstract:
    This report describes a 38-year-old man with massive gastrointestinal bleeding from jejunal varices. He had been previously diagnosed to have idiopathic portal hypertension and esophageal varices, and had undergone an esophageal transection 8 years earlier. The pre-operative diagnosis was a suspected hemorrhage from the small intestine as visualized by 99mTc-HSAD scintigraphy (technetium 99m-labeled human serum albumin D-type) and was not considered to be repeated massive lower GI tract bleeding. An exploratory laparotomy was performed, and intra-operative endoscopy revealed active bleeding from the jejunal varices. A partial resection of the small intestine resulted in a complete resolution of the bleeding. A review of the literature thereafter disclosed twelve previously reported cases of jejunal variceal bleeding.
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