Hemostasis With Endoscopic Band Ligation for Rupture of Jejunal Varices.
ACG Case Rep J 2019;
6:e00211. [PMID:
31750379 PMCID:
PMC6831151 DOI:
10.14309/crj.0000000000000211]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2019] [Accepted: 07/30/2019] [Indexed: 11/17/2022] Open
Abstract
Compared with the variceal rupture in the esophagus or stomach, rupture of ectopic varices including those in the jejunum is rare, and a definitive hemostatic method is not established. We report our case and review the literature regarding the pathophysiology and hemostatic methods of ectopic varices. A patient presented with hematemesis and cardiopulmonary arrest following hemorrhagic shock. After resuscitation, we performed emergency endoscopy and diagnosed ruptured jejunal varices that were subsequently treated by endoscopic band ligation.
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