Unusual Case of Massive Obscure Gastrointestinal Bleeding: Ectopic Varices in Jejunum Caused by Arteriovenous Malformation
Small bowel ectopic varices is a rare etiology for obscure gastrointestinal bleeding. Ectopic varices in the absence of portal hypertension can be caused by congenital or familial conditions (e.g. malformation of vessel). Bleeding caused by ectopic varices can be massive and life threatening. Single...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Interna Publishing
2018-04-01
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| Series: | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://ina-jghe.com/journal/index.php/jghe/article/view/659/530 |
| _version_ | 1818944433070014464 |
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| author | Hasan Maulahela Kaka Renaldi Ari Fahrial Syam |
| author_facet | Hasan Maulahela Kaka Renaldi Ari Fahrial Syam |
| author_sort | Hasan Maulahela |
| collection | DOAJ |
| description | Small bowel ectopic varices is a rare etiology for obscure gastrointestinal bleeding. Ectopic varices in the absence of portal hypertension can be caused by congenital or familial conditions (e.g. malformation of vessel). Bleeding caused by ectopic varices can be massive and life threatening. Single Balloon Enteroscopy (SBE) is one of diagnostic modalities for obscure gastrointestinal bleeding. We report one case of obscure overt gastrointestinal bleeding with sub-acute onset. Previous esophagogastroduodenoscopy and colonoscopy cannot found the source of bleeding. On the enteroscopy we found varices at proximal jejunum with active bleeding during procedure. We applied hemostatic powder to stop the bleeding and proceed to surgery. Surgery was performed by enteroscopy guide. The jejunum section with varices was resected and the pathology confirmed the malformation of arteriovenous. Currently there is no available guideline or randomized study for the treatment of ectopic varices. Treatment options include ligation, sclerotherapy, surgery and interventional radiology. In this patient we choose surgery because of massive gastrointestinal bleeding. |
| first_indexed | 2024-12-20T07:43:08Z |
| format | Article |
| id | doaj.art-fd8b7e7dfa754c3bb60c8af194846bc2 |
| institution | Directory Open Access Journal |
| issn | 1411-4801 2302-8181 |
| language | English |
| last_indexed | 2024-12-20T07:43:08Z |
| publishDate | 2018-04-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| spelling | doaj.art-fd8b7e7dfa754c3bb60c8af194846bc22022-12-21T19:48:04ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812018-04-011915658https://doi.org/10.24871/191201856-58Unusual Case of Massive Obscure Gastrointestinal Bleeding: Ectopic Varices in Jejunum Caused by Arteriovenous MalformationHasan MaulahelaKaka Renaldi Ari Fahrial SyamSmall bowel ectopic varices is a rare etiology for obscure gastrointestinal bleeding. Ectopic varices in the absence of portal hypertension can be caused by congenital or familial conditions (e.g. malformation of vessel). Bleeding caused by ectopic varices can be massive and life threatening. Single Balloon Enteroscopy (SBE) is one of diagnostic modalities for obscure gastrointestinal bleeding. We report one case of obscure overt gastrointestinal bleeding with sub-acute onset. Previous esophagogastroduodenoscopy and colonoscopy cannot found the source of bleeding. On the enteroscopy we found varices at proximal jejunum with active bleeding during procedure. We applied hemostatic powder to stop the bleeding and proceed to surgery. Surgery was performed by enteroscopy guide. The jejunum section with varices was resected and the pathology confirmed the malformation of arteriovenous. Currently there is no available guideline or randomized study for the treatment of ectopic varices. Treatment options include ligation, sclerotherapy, surgery and interventional radiology. In this patient we choose surgery because of massive gastrointestinal bleeding.http://ina-jghe.com/journal/index.php/jghe/article/view/659/530obscure gastrointestinal bleedingsingle balloon enteroscopyectopic varicesarteriovenous malformation |
| spellingShingle | Hasan Maulahela Kaka Renaldi Ari Fahrial Syam Unusual Case of Massive Obscure Gastrointestinal Bleeding: Ectopic Varices in Jejunum Caused by Arteriovenous Malformation The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy obscure gastrointestinal bleeding single balloon enteroscopy ectopic varices arteriovenous malformation |
| title | Unusual Case of Massive Obscure Gastrointestinal Bleeding: Ectopic Varices in Jejunum Caused by Arteriovenous Malformation |
| title_full | Unusual Case of Massive Obscure Gastrointestinal Bleeding: Ectopic Varices in Jejunum Caused by Arteriovenous Malformation |
| title_fullStr | Unusual Case of Massive Obscure Gastrointestinal Bleeding: Ectopic Varices in Jejunum Caused by Arteriovenous Malformation |
| title_full_unstemmed | Unusual Case of Massive Obscure Gastrointestinal Bleeding: Ectopic Varices in Jejunum Caused by Arteriovenous Malformation |
| title_short | Unusual Case of Massive Obscure Gastrointestinal Bleeding: Ectopic Varices in Jejunum Caused by Arteriovenous Malformation |
| title_sort | unusual case of massive obscure gastrointestinal bleeding ectopic varices in jejunum caused by arteriovenous malformation |
| topic | obscure gastrointestinal bleeding single balloon enteroscopy ectopic varices arteriovenous malformation |
| url | http://ina-jghe.com/journal/index.php/jghe/article/view/659/530 |
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