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Revista de Gastroenterología del Perú

Print version ISSN 1022-5129


BEJARANO RENGIFO, Janeth  and  ROA BALLESTAS, Paola. Jejunal varices secondary to superior mesenteric vein thrombosis: an unusual cause of bleeding from the small intestine. Rev. gastroenterol. Perú [online]. 2020, vol.40, n.3, pp.270-273. ISSN 1022-5129.

Small bowel varices are usually associated with portal hypertension. Ectopic varices caused by isolated chronic superior mesenteric vein thrombosis are exceedingly rare. Gastrointestinal bleeding secondary to these represents a diagnostic challenge, given the low prevalence and clinical suspicion, and therapeutic dilemma due to the limited scientific evidence available regarding treatment options. We present the case of a 56-year-old man with gastrointestinal bleeding from jejunal varices due to chronic superior mesenteric vein thrombosis, associated with thrombophilia; diagnosed by video capsule endoscopic (VCE) and computed tomography enterography (CTE), with no possibility of endoscopic or radiological management given the extensive involvement, who underwent successful surgery.

Keywords : Esophageal and gastric varices; Thrombophilia; Thrombosis; Mesenteric veins; Treatment.

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