Jejunal varices secondary to superior mesenteric vein thrombosis: an unusual cause of bleeding from the small intestine

• Autores: Bejarano Rengifo, Janeth, Roa Ballestas, Paola
• Formato: artículo
• Fecha de Publicación: 2020
• Institución: Sociedad de Gastroenterología del Perú
• Repositorio: Revista de Gastroenterología del Perú
• Lenguaje: español
• OAI Identifier: oai:ojs.revistagastroperu.com:article/1128
• Enlace del recurso: http://www.revistagastroperu.com/index.php/rgp/article/view/1128
• Nivel de acceso: acceso abierto
• Materia: Várices esofágicas y gástricas; Trombofilia; Trombosis; Venas mesentéricas; Tratamiento

Small bowel varices are usually associated with portal hypertension. Ectopic varices caused by isolated chronic superior mesenteric vein thrombosis are exceedingly rare. Gastrointestinal bleeding secondary to these represents a diagnostic challenge, given the low prevalence and clinical suspicion, and therapeutic dilemma due to the limited scientific evidence availableregarding treatment options. We present the case of a 56-year-old man with gastrointestinal bleeding from jejunal varices due to chronic superior mesenteric vein thrombosis, associated with thrombophilia; diagnosed by video capsule endoscopic (VCE) and computed tomography enterography (CTE), with no possibility of endoscopic or radiological management given the extensive involvement, who underwent successful surgery.