A Case of Jejunal Varices Rupture

Naruhiko Sawada, Atushi Umemoto, Osamu Inayama, Masako Okada, Jyunichi Seike, Jyunko Honda, Natsu Okitsu, Hiroshi Okitsu and Yasumasa Monden

Department of Oncological and Regenerative Surgery, Tokushima University, School of Medicine

Bleeding from varices outside the gastroesophageal region with portal hypertension is rare. We report a patient with bleeding from ruptured jejunal varices, confirmed by emergency laparotomy. A 59-year-old man treated for liver cirrhosis and hepatocellular carcinoma was brought in a hospital for shock, and emergency upper and lower gastrointestinal endoscopy showed no hemorrhagic point, so he was transferred to our hospital. Hemorrhagic scintigraphy was showed bleeding in the proximal small bowel, and emergency laparotomy showed jejunal varices near the ligament of Treitz. Endoscopy was done from the stomach and showed active bleeding from the jejunal varices. The jejunal varices were ligated within jejunal wall. The man has remained well in the 20 months since surgery.

Key words
jejunal varicesi, potal hypertension

Reprint requests
Naruhiko Sawada Department of Oncological and Regenerative Surgery, Tokushima University, School of Medicine 2-50-1, Kuramoto-machi, Tokushima, 770-8503 JAPAN

Accepted
March 26, 2003

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