An Unusual Cause of Upper Gastrointestinal Bleeding: Duodenal Vascular Ectasia after Splenectomy

Kamil Ozdil, Abdurrahman Sahin, Resul Kahraman, Turan Calhan, Recai Gokcan, Murat Hakan Karabulut, Haci Mehmet Sokmen, Hasan Ozkan, Salimur Rahman
2012 Euroasian Journal of Hepato-Gastroenterology  
Cavernomatous transformation of portal vein (CTPV) is characterized by a collateral network of veins in the hepatic hilum that bypasses an obstructed or occluded extrahepatic portal vein. We report a case of CTPV, 25 years after splenectomy in a 39-year-old man with acute and chronic blood loss from duodenal vascular ectasia without esophageal or gastric varices or portal hypertensive gastropathy. This case demonstrates that distal part of duodenum assessment is important in gastrointestinal
more » ... eding of patients with CTPV. Abbreviations : GI: Gastrointestinal; CTPV: Cavernomatous transformation of portal vein; CT: Computed tomography; PHD: Portal hypertensive duodenopathy.
doi:10.5005/jp-journals-10018-1046 fatcat:ixulcshnijgyri5yvittv622cq