Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Oral and Maxillofacial Surgery
  •  Orthopaedic Surgery
  •  Vascular Surgery
  •  Otolaryngology - Head and Neck Surgery
  •  Cardiovascular Surgery
  •  Thoracic Surgery
  •  Transplant Surgery
  •  Breast Surgery

Abstract

Citation: Clin Surg. 2022;7(1):3518.Case Report | Open Access

Bleeding Jejunal Varices in a Patient with Extensive Porto- Mesenteric Thrombosis: Clinical Conundrum

Mohammad AL Zoubi1*, Ali Toffaha1, Moamena Elmatbouly1,2, Ahmed Suliman1 and Ahmed Al-Bahrani1

1Department of General Surgery, Hamad Medical Corporation, Qatar
2Weill Cornell Medical College, Qatar

*Correspondance to: Mohammad AL Zoubi 

 PDF  Full Text DOI: 10.25107/2474-1647.3518

Abstract

Ectopic varices are rare cause of obscure GI bleeding and hence should be always suspected in patients with history of portal hypertension who present with GI bleeding and have negative upper and lower GI endoscopies. We reviewed a case of a 58-year-old patient who presented with melena and symptomatic anemia and was a known case of actor V Leiden heterozygous mutation on long term anticoagulation. Unexpectedly his extensive workup showed; bleeding jejunal varices as the source of his anemia. Patient failed multiple trials of interventional radiology embolization and was managed laparoscopically with small bowel segmental resection and re-anastomosis. Establishing the diagnosis is challenging and management should be through a multidisciplinary approach. We conclude that surgical removal of the involved small bowel is a feasible and safe option in similar patients resistant to other modalities of treatment.

Keywords

Cite the article

AL Zoubi M, Toffaha A, Elmatbouly M, Suliman A, Al-Bahrani A. Bleeding Jejunal Varices in a Patient with Extensive Porto-Mesenteric Thrombosis: Clinical Conundrum. Clin Surg. 2022; 7: 3518..

Search Our Journal

Journal Indexed In

Articles in PubMed

Mesh Sprayer Device with Liquefied Mesh Delivery System: Proposed Alternative for Currently Available Meshes in Hernia Repair and Supplement to Abdominal Closure
 PubMed  PMC  PDF  Full Text
Monitoring an Ongoing Enhanced Recovery after Surgery (ERAS) Program: Adherence Improves Clinical Outcomes in a Comparison of Three Thousand Colorectal Cases
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

Laparoscopic Versus Robot Techniques for the Choledochal Cyst in Children: An Initial Meta-Analysis
 Abstract  PDF  Full Text
Set Up New Cardiac Surgery Peri-Operative Service in a General Adult Intensive Care Unit during COVID-19 Pandemic
 Abstract  PDF  Full Text
View More...