JaLCDOI 10.18926/AMO/32880
FullText URL fulltext.pdf
Author Onozato, Yasuhiro| Kakizaki, Satoru| Iizuka, Haruhisa| Mori, Kazuyo| Takizawa, Daichi| Ohyama, Tatsuya| Arakawa, Kazuhisa| Arai, Hirotaka| Ishihara, Hiroshi| Abe, Takehiko| Sohara, Naondo| Sato, Ken| Takagi, Hitoshi| Mori, Masatomo|
Abstract <p>The term &#34;ectopic varices&#34; 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.</p>
Keywords ectopic varices N-butyl-2-cyanoacrylate (Histoacryl) gastroduodenal anastomosis portal hypertension
Amo Type Case Report
Published Date 2007-12
Publication Title Acta Medica Okayama
Volume volume61
Issue issue6
Publisher Okayama University Medical School
Start Page 361
End Page 365
ISSN 0386-300X
NCID AA00508441
Content Type Journal Article
language 英語
File Version publisher
Refereed True
PubMed ID 18183082
Web of Science KeyUT 000251943800008