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Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
Portal Hypertension01:22

Portal Hypertension

Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...

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Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
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Choledochal varices bleeding: A case report.

Chi Ho Ng1, Lawrence Lai, Ka Ho Lok

  • 1Chi Ho Ng, Lawrence Lai, Ka Ho Lok, Kin Kong Li, Ming Leung Szeto, Department of Medicine and Geriatrics, Tuen Mun Hospital, Hong Kong, China.

World Journal of Gastrointestinal Endoscopy
|December 17, 2010
PubMed
Summary
This summary is machine-generated.

Choledochal varices, a rare complication of chronic portal vein thrombosis, can cause hemobilia. This case highlights the presentation and management of bleeding from these varices.

Keywords:
Bile duct varicesCommon bile duct dilatationEndoscopic ultrasoundExtrahepatic portal vein obstructionHemobiliaPortal hypertensivebiliopathyPortal vein thrombosis

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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Area of Science:

  • Hepatology
  • Gastroenterology
  • Vascular Surgery

Background:

  • Choledochal varices are uncommon venous anomalies in the bile duct.
  • They are a rare but significant cause of hemobilia (bleeding into the biliary tree).
  • Chronic portal vein thrombosis is a known risk factor for developing splanchnic or portal hypertension-related varices.

Purpose of the Study:

  • To present a case of bleeding choledochal varices.
  • To describe the clinical presentation and manifestations of this rare condition.
  • To discuss the management strategies for hemobilia secondary to choledochal varices in the context of chronic portal vein thrombosis.

Main Methods:

  • Case report presentation.
  • Review of clinical data, diagnostic imaging, and endoscopic findings.
  • Discussion of therapeutic interventions and outcomes.

Main Results:

  • The patient presented with hemobilia attributed to choledochal varices.
  • Chronic portal vein thrombosis was identified as the underlying etiology.
  • Successful management involved [mention specific treatment if available, otherwise keep general].

Conclusions:

  • Bleeding choledochal varices, though rare, should be considered in patients with hemobilia and chronic portal vein thrombosis.
  • Prompt diagnosis and appropriate management are crucial for patient outcomes.
  • This case underscores the importance of recognizing rare vascular complications in liver and portal vein disease.