title: Transhepatic portal venous angioplasty with stenting for bleeding jejunal angiodysplasias in a retrasplant patient: a case report.
abstract: A 41-year-old man, who had undergone liver retransplantation, was admitted to our institution complaining of rectorraghia. Gastroscopy and colonoscopy failed to detect the source of bleeding. Computed tomographic angiography detected a stenosis at the portal anastomosis. Capsule endoscopy showed the presence of multiple small bowel angiodysplasias. After a surgical failure, direct portography revealed severe stenosis of the extrahepatic portal vein. Subsequent to percutaneous transhepatic portography, we dilated the stenosis using a balloon catheter and placed an expandable metallic stent, stopping the bleeding without further episodes of gastrointestinal bleeding.
authors.affiliation: Department of Surgery, Virgen de la Arrixaca University Hospital, Murcia, Spain. cascalex@yahoo.es
authors.forename: P
authors.initials: P
authors.lastname: Cascales Campos
authors.forename: P
authors.initials: P
authors.lastname: Ramírez
authors.forename: R
authors.initials: R
authors.lastname: González
authors.forename: I
authors.initials: I
authors.lastname: Martínez Frutos
authors.forename: F
authors.initials: F
authors.lastname: Sánchez Bueno
authors.forename: R
authors.initials: R
authors.lastname: Robles
authors.forename: M
authors.initials: M
authors.lastname: Miras
authors.forename: J A
authors.initials: JA
authors.lastname: Pons
authors.forename: F
authors.initials: F
authors.lastname: Lloret
authors.forename: P
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D016888:Angiodysplasia / Q000601:surgery*; D017130:Angioplasty / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D011169:Portal Vein / Q000601:surgery*; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed