Bleeding varices of the small bowel as a complication of pancreatitis: case report and review of the literature.
A case of a 48 year old male with a history of alcohol abuse, chronic relapsing pancreatitis, and massive hemorrhage into the small intestine is reported. The patient had previously undergone a cholecystojejunostomy. Imaging studies demonstrated occlusion of the splenic, superior mesenteric, and distal portal veins with large varices in the jejunum. He recovered following jejunal resection and Roux-en-Y cholecystojejunostomy. The mechanism for formation of varices in the small bowel in this clinical setting is discussed.
Lein
B C
BC
Departments of Surgery, Abington Memorial Hospital, Pennsylvania.
McCombs
P R
PR
D002908:Chronic Disease; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications*; D012008:Recurrence; D014648:Varicose Veins / Q000209:etiology*