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Jejunal Varices Bleeding in a Patient with Extensive Portomesenteric Thrombosis Secondary to Factor V Leiden Mutation: A Management Dilemma
المؤلفون المشاركون
Ayash, Ahmad
Mushtaq, Kamran
Abdul Qader, Mohamed Emad
Al-Ejji, Khalid Mohsin
Al Kaabi, Saad Rashid
Khelfa, Shadi J. S.
المصدر
Case Reports in Gastrointestinal Medicine
العدد
المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2019-02-06
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
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.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ayash, Ahmad& Mushtaq, Kamran& Abdul Qader, Mohamed Emad& Al-Ejji, Khalid Mohsin& Al Kaabi, Saad Rashid& Khelfa, Shadi J. S.. 2019. Jejunal Varices Bleeding in a Patient with Extensive Portomesenteric Thrombosis Secondary to Factor V Leiden Mutation: A Management Dilemma. Case Reports in Gastrointestinal Medicine،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1136196
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ayash, Ahmad…[et al.]. Jejunal Varices Bleeding in a Patient with Extensive Portomesenteric Thrombosis Secondary to Factor V Leiden Mutation: A Management Dilemma. Case Reports in Gastrointestinal Medicine No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1136196
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ayash, Ahmad& Mushtaq, Kamran& Abdul Qader, Mohamed Emad& Al-Ejji, Khalid Mohsin& Al Kaabi, Saad Rashid& Khelfa, Shadi J. S.. Jejunal Varices Bleeding in a Patient with Extensive Portomesenteric Thrombosis Secondary to Factor V Leiden Mutation: A Management Dilemma. Case Reports in Gastrointestinal Medicine. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1136196
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1136196
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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