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Gastrointestinal bleeding 30 years after a complicated cholecystectomy |
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| Authors: | Thorsten Brechmann Wolff Schmiegel Volkmar Nicolas Markus Reiser |
| Affiliation: | Thorsten Brechmann, Wolff Schmiegel, Markus Reiser, Department of Gastroenterology and Hepatology, Berufsgenossenschaftliche Kliniken Bergmannsheil, University of Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany;Volkmar Nicolas, Department of Diagnostic and Interventional Radiology, Berufsgenossenschaftliche Kliniken Bergmannsheil, University of Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany |
| Abstract: | Gastrointestinal bleeding from small-bowel varices is a rare and difficult to treat complication of portal hypertension. We describe the case of a 79-year-old female patient with recurrent severe hemorrhage from smallbowel varices 30 years after a complicated cholecystectomy. When double balloon enteroscopy was unsuccessful to reach the site of bleeding, a rendezvous approach was favored with intraoperative endoscopy. Active bleeding from varices within a biliodigestive anastomosis was found and controlled ... |
| Keywords: | Upper gastrointestinal bleeding Intestinal varices Intraoperative endoscopy Cyanoacrylate |
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