An unusual case of severe gastrointestinal bleeding.
Z Gastroenterol
; 2023 Sep 26.
Article
en En
| MEDLINE
| ID: mdl-37751771
ABSTRACT
We present the case of a 58-year-old female with a history of a bleeding duodenal peptic ulcer. Endoscopic hemostasis was unsuccessful; therefore, a transcatheter arterial embolization of a culprit vessel was performed. She was admitted to the hospital two months later because of obstruction of the common bile duct with cholangitis. Attempts to endoscopically place a biliary stent failed. The treating medical team opted for a surgical choledocho-jejunostomy. After 20 months, she presented with a melena and a severe anemia. Diagnostic work-up revealed portal vein thrombosis with portal cavernoma and bleeding choledocho-jejunostomy varices. The case presents and discusses rare complications of duodenal ulcer disease, as well as possible causes and treatment options.
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Banco de datos:
MEDLINE
Idioma:
En
Revista:
Z Gastroenterol
Año:
2023
Tipo del documento:
Article
País de afiliación:
Eslovenia