Jejunal Varices Bleeding in a Patient with Extensive Portomesenteric Thrombosis Secondary to Factor V Leiden Mutation: A Management Dilemma
| العنوان: | Jejunal Varices Bleeding in a Patient with Extensive Portomesenteric Thrombosis Secondary to Factor V Leiden Mutation: A Management Dilemma |
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| المؤلفون: | K Al-Ejji, Ahmad Ayash, Shadi J. S. Khelfa, Saad Al Kaabi, Kamran Mushtaq, Mohamed Emad Abdul Qader |
| المصدر: | Case Reports in Gastrointestinal Medicine, Vol 2019 (2019) Case Reports in Gastrointestinal Medicine |
| بيانات النشر: | Hindawi Limited, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | History, medicine.medical_specialty, Polymers and Plastics, Anemia, Case Report, Industrial and Manufacturing Engineering, 03 medical and health sciences, 0302 clinical medicine, Melena, medicine, Factor V Leiden, Business and International Management, lcsh:RC799-869, Jejunal varices, business.industry, medicine.disease, Thrombosis, Surgery, 030220 oncology & carcinogenesis, Portal hypertension, 030211 gastroenterology & hepatology, lcsh:Diseases of the digestive system. Gastroenterology, Factor V Leiden mutation, medicine.symptom, business, Abdominal surgery |
| الوصف: | Ectopic varices are portosystemic collaterals that occur away from the gastroesophageal junction and account for 1-5% of all variceal bleeding. Its occurrence in the jejunum is rare. Most common cause of ectopic jejunal varices is portal hypertension especially in those patients who have undergone prior abdominal surgery. Portomesenteric thrombosis is a rare cause of ectopic jejunal varices. Ectopic varices are rare cause of obscure GI bleeding and hence should be always suspected in patients with history of portal hypertension who present with GI bleeding and have negative upper and lower GI endoscopies. Management of patients with ectopic varices is often very challenging and requires multidisciplinary approach. Therapeutic options include endoscopic therapy, interventional radiologic procedures, surgically creating shunting, or surgical resection. We present the case of a 52-year-old patient who was on anticoagulation for extensive portomesenteric thrombosis secondary to factor V Leiden heterozygous mutation and presented with melena and symptomatic anemia. Investigations showed bleeding jejunal varices as the cause of anemia. We discuss the therapeutic options and dilemma in the management of such cases. |
| اللغة: | English |
| تدمد: | 2090-6536 2090-6528 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a92d86f963797cf7d551d53e0517bfca https://doaj.org/article/0fa05c61e6b3426ba5c2bceb816cd7f8 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....a92d86f963797cf7d551d53e0517bfca |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20906536 20906528 |
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