Successful emergency enterectomy for bleeding ileal varices in a patient with liver cirrhosis.
We report a rare case of bleeding ileal varices successfully treated with emergency enterectomy. A 72-year old woman with hepatic cirrhosis due to hepatitis C was admitted to our hospital because of anemia and hematochezia. An endoscopic examination showed no evidence of bleeding in the upper and lower gastrointestinal tracts. Angiographic studies of portal hemodynamics revealed extravasation from the ileal varices and total occlusion of the portal vein due to portal thrombus. This made it difficult to remove the ileal varices using interventional radiology. Therefore, the patient underwent emergency enterectomy for the ileal varices. No further gastrointestinal bleeding occurred during the 1-year follow-up.
Ueda
Junji
J
Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine, Tokyo, Japan. Junji0821@nms.ac.jp
Yoshida
Hiroshi
H
Mamada
Yasuhiro
Y
Taniai
Nobuhiko
N
Mizuguchi
Yoshiaki
Y
Shimizu
Tetsuya
T
Matsumoto
Satoshi
S
Kakinuma
Daisuke
D
Ishikawa
Yoshinori
Y
Kanda
Tomoharu
T
Akimaru
Koho
K
Teranishi
Nobuhisa
N
Naito
Zenya
Z
Tajiri
Takashi
T
D000368:Aged; D004630:Emergencies; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D007077:Ileal Diseases / Q000601:surgery*; D008103:Liver Cirrhosis / Q000150:complications*; D014648:Varicose Veins / Q000601:surgery*