title: Severe bleeding from esophageal varices resistant to endoscopic treatment in a non cirrhotic patient with portal hypertension.
abstract: A non cirrhotic patient with esophageal varices and portal vein thrombosis had recurrent variceal bleeding unsuccessfully controlled by endoscopy and esophageal transection. Emergency transhepatic portography confirmed the thrombosed right branch of the portal vein, while the left branch appeared angulated, shifted and stenotic. A stent was successfully implanted into the left branch and the collateral vessels along the epatoduodenal ligament disappeared. In patients with esophageal variceal hemorrhage and portal thrombosis if endoscopy fails, emergency esophageal transection or nonselective portocaval shunting are indicated. The rare patients with only partial portal thrombosis can be treated directly with stenting through an angioradiologic approach.
authors.affiliation: Department of Surgery "Francesco Durante" - General Surgery N, Sapienza University of Rome, Viale del Policlinico, 00161, Rome, Italy. roberto.caronna@uniroma1.it.
authors.forename: Roberto
authors.initials: R
authors.lastname: Caronna
authors.forename: Mario
authors.initials: M
authors.lastname: Bezzi
authors.forename: Monica
authors.initials: M
authors.lastname: Schiratti
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cardi
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Prezioso
authors.forename: Michele
authors.initials: M
authors.lastname: Benedetti
authors.forename: Federica
authors.initials: F
authors.lastname: Papini
authors.forename: Simona
authors.initials: S
authors.lastname: Mangioni
authors.forename: Gabriele
authors.initials: G
authors.lastname: Martino
authors.forename: Piero
authors.initials: P
authors.lastname: Chirletti