Ectopic ileal varices associated with recurrent bleeding: Report of a case
| Autor: | Toru Sato, Satoshi Ambiru, Osamu Yokosuka, Shunta Nakamura, Takeichiro Kuwahara, Yasushi Mandai |
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| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Gastrointestinal bleeding Exploratory laparotomy medicine.medical_treatment Capsule Endoscopy Endoscopy Gastrointestinal law.invention Diagnosis Differential Varicose Veins Ileum Capsule endoscopy law Laparotomy Hypertension Portal medicine Humans Ileal Diseases business.industry Angiography General Medicine Middle Aged medicine.disease Hematochezia Portal hypertension Female Surgery Radiology medicine.symptom Gastrointestinal Hemorrhage Tomography X-Ray Computed business Varices |
| Zdroj: | Surgery Today. 41:448-452 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-009-4285-1 |
| Popis: | Bleeding from ectopic varices of the ileum associated with portal hypertension is occasionally life-threatening. However, it is not easy to make an accurate preoperative diagnosis. A 62-year-old woman presented with hematochezia and anemia. Conventional examinations could not locate the bleeding point, but subsequent capsule endoscopy indicated gastrointestinal bleeding from hemorrhaging ileal varices. Contrast-enhanced abdominal computed tomography, three-dimensioned abdominal computed tomography, and mesenteric angiography demonstrated the presence of ileal and right ovarian varices. The patient then underwent an exploratory laparotomy which confirmed these findings, and resection of the affected ileum and right ovary was performed safely. Capsule endoscopy should be a diagnostic option for patients with obscure gastrointestinal bleeding, and ileal varices should be considered as one of the differential diagnoses. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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