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Related Experiment Videos

[Massive hemorrhage from jejunal varices]

W Scheppach1, G Wittenberg, D Hahn

  • 1Medizinische Universitätsklinik, Würzburg.

Zeitschrift Fur Gastroenterologie
|March 1, 1997
PubMed
Summary

A jejunal varix caused severe gastrointestinal bleeding in a young male, leading to hemorrhagic shock. Superselective embolization successfully stopped the bleeding from the superior mesenteric artery branch.

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Area of Science:

  • Gastroenterology
  • Vascular Surgery

Background:

  • Gastrointestinal bleeding can be life-threatening, necessitating prompt diagnosis and management.
  • Vascular anomalies in the small intestine are rare causes of significant hemorrhage.

Observation:

  • A young male presented with severe hematochezia and hemorrhagic shock.
  • Initial endoscopic evaluations were inconclusive, but angiography revealed active bleeding from a superior mesenteric artery branch.

Findings:

  • Bleeding was successfully controlled using superselective arterial embolization with coils.
  • Surgical resection confirmed a jejunal varix with superficial ulceration as the source of hemorrhage.

Implications:

  • This case highlights the importance of considering rare vascular lesions in the small intestine for obscure gastrointestinal bleeding.

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  • Angiography and superselective embolization are crucial for diagnosing and treating such conditions.
  • Early intervention can prevent severe complications and improve patient outcomes.