Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension

Variceal bleeding remains a fatal complication of portal hypertension. Periampullary varices are rare and, due to their location, are difficult to diagnose and treat. Similar to esophagogastric varices, they are the result of high portosystemic pressures secondary to intrahepatic causes such as cirr...

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Detalles Bibliográficos
Autores principales: Farkas, Zahava C., Chugh, Priyanka, Frager, Shalom, Haq, Khwaja F., Khan, Muhammad Ali, Solanki, Shantanu, Esses, Edward, Veillette, Gregory, Bodin, Roxana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5960554/
https://www.ncbi.nlm.nih.gov/pubmed/29854492
http://dx.doi.org/10.1155/2018/4643695
Descripción
Sumario:Variceal bleeding remains a fatal complication of portal hypertension. Periampullary varices are rare and, due to their location, are difficult to diagnose and treat. Similar to esophagogastric varices, they are the result of high portosystemic pressures secondary to intrahepatic causes such as cirrhosis and extrahepatic causes such as portal or splenic vein thrombosis. We report a case of a periampullary varix resulting in hemobilia during endoscopic retrograde cholangiopancreatography (ERCP).

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