Table of Contents
HPB Surgery
Volume 5, Issue 2, Pages 147-153
http://dx.doi.org/10.1155/1992/16894
Case Report

Duodeno-Jejunal Varicosities Following Extrahepatic Portal Vein Thrombosis

Hepatobiliary and Liver Transplantation Unit, University Department of Surgery, Royal Free Hospital, Pond Street, London NW3 2QG, UK

Received 1 November 1991

Copyright © 1992 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 31 year old man, under investigation for melena, was found at endoscopy to have varicosities at the site of a duodeno-jejunostomy which had been performed for duodenal atresia when he was three days old. Angiography revealed an occluded portal vein with an extensive collateral circulation. At laparotomy some of the collateral vessels were found to pass through the anastomotic site and directly into the left lobe of the liver. The portal pressure was found to be minimally elevated. Resection of the anastomotic segment was performed with reconstruction using a Roux en Y jejunal loop. Bleeding from collateral vessels passing through an anastomosis site in a patient with extrahepatic portal vein thrombosis has not previously been reported.