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Ectopic varices rupture in the gastroduodenal anastomosis successfully treated with N-butyl-2-cyanoacrylate injection.
- Source :
-
Acta medica Okayama [Acta Med Okayama] 2007 Dec; Vol. 61 (6), pp. 361-5. - Publication Year :
- 2007
-
Abstract
- The term "ectopic varices" is used to describe dilated portosystemic collateral veins in unusual locations other than the gastroesophageal region. We recently experienced a rare case of ectopic varices that developed in the gastroduodenal anastomosis after subtotal gastrectomy. A 70-year-old male with liver cirrhosis due to hepatitis C virus infection was admitted for hematemesis and tarry stool. He had received a subtotal gastrectomy with the Billroth-I method for gastric ulcer at 46 years of age. Although emergency endoscopy revealed esophageal and gastric fundal varices, there were no obvious bleeding points. After removal of the coagula, ectopic varices and a fibrin plug were observed on the gastroduodenal anastomosis. During the observation, blood began to spurt from the fibrin plug. N-butyl-2-cyanoacrylate with lipiodol injection succeeded in hemostasis. Splenic angiography showed gastric varices feeding from a short gastric vein and the posterior gastric vein. The blood flow around the bleeding point, as indicated by lipiodol deposition, had decreased, and no feeding vein was observed. Endoscopic and angiographic findings are shown and the treatment for such lesions is discussed.
- Subjects :
- Aged
Anastomosis, Surgical
Angiography
Duodenum blood supply
Enbucrilate therapeutic use
Gastrectomy
Gastrointestinal Hemorrhage diagnostic imaging
Gastrointestinal Hemorrhage etiology
Humans
Hypertension, Portal complications
Male
Rupture
Varicose Veins diagnostic imaging
Varicose Veins pathology
Enbucrilate analogs & derivatives
Gastrointestinal Hemorrhage surgery
Tissue Adhesives therapeutic use
Varicose Veins drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0386-300X
- Volume :
- 61
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Acta medica Okayama
- Publication Type :
- Academic Journal
- Accession number :
- 18183082
- Full Text :
- https://doi.org/10.18926/AMO/32880