Upper gastrointestinal bleeding episodes from variceal structures are severe complications in patients with portal hypertension. Endoscopic sclerotherapy and variceal ligation are the treatment options preferred for upper variceal bleeding owing to extrahepatic portal hypertension due to portal vein thrombosis (PVT). Recurrent duodenal variceal bleeding in non-cirrhotic patients with diffuse porto-splenic vein thrombosis and subsequent portal. cavernous transformation represent a clinical challenge if classic shunt surgery is not possible or suitable.
In this study, we represent a case of recurrent bleeding of duodenal varices in a non-cirrhotic patient with cavernous transformation of the portal vein that was successfully treated with a collateral caval shunt operation.
| Identifer | oai:union.ndltd.org:DRESDEN/oai:qucosa.de:bsz:15-qucosa-151556 |
| Date | 05 September 2014 |
| Creators | Hau, Hans Michael, Fellmer, Peter, Schoenberg, Markus B., Schmelzle, Moritz, Morgul, Mehmet Haluk, Krenzien, Felix, Wiltberger, Georg, Hoffmeister, Albrecht, Jonas, Sven |
| Contributors | Universität Leipzig, Medizinische Fakultät, Universität Leipzig, Medizinische Fakultät, Universität München, Universitätsklinikum, BioMed Central, |
| Publisher | Universitätsbibliothek Leipzig |
| Source Sets | Hochschulschriftenserver (HSSS) der SLUB Dresden |
| Language | English |
| Detected Language | English |
| Type | doc-type:article |
| Format | application/pdf |
| Source | European Journal of Medical Research 2014 19:36. doi:10.1186/2047-783X-19-36 |
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