Jejunal Varices Causing Recurrent Obscure Gastrointestinal Hemorrhage

Dong-Won Ahn; Ji Bong Jeong

doi:10.4166/kjg.2014.63.3.191

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Ahn and Jeong: Jejunal Varices Causing Recurrent Obscure Gastrointestinal Hemorrhage

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Korean J Gastroenterol 2014;63(3):191-193.

Published online: 4 October 2014

DOI: https://doi.org/10.4166/kjg.2014.63.3.191

Jejunal Varices Causing Recurrent Obscure Gastrointestinal Hemorrhage

Dong-Won Ahn, Ji Bong Jeong

Department of Internal Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea

Correspondence to: Dong-Won Ahn, Department of Internal Medicine, SMG-SNU Boramae Medical Center, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul 156-707, Korea. Tel: +82-2-870-3205, Fax: +82-2-831-2826, E-mail: drdwahn@gmail.com

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

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Fig. 1.

(A) Axial CT image demonstrates an enhancing dilated vein in the intestinal wall (arrow). (B) Coronal image shows the renal vein (arrow-heads), gonadal vein (small arrow), and jejunal varix (large arrow) which are all connected.

Fig. 2.

Balloon-occluded retrograde transvenous obliteration of a jejunal varix. (A) Digital subtraction angiography obtained after inflation of the occlusion balloon and retrograde injection of contrast agent demonstrates that the varix and its connected mesenteric veins are draining into the superior mesenteric vein (arrowheads) and inferior mesenteric vein (arrows). (B) A spot image shows the mixture of sclerosing agent and contrast agent filling the varix.

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