3.8 Article

Jejunal variceal rupture in a patient with myelofibrosis: a case report

Journal

CLINICAL JOURNAL OF GASTROENTEROLOGY
Volume 14, Issue 2, Pages 542-545

Publisher

SPRINGER JAPAN KK
DOI: 10.1007/s12328-021-01373-y

Keywords

Jejunal varices; Variceal rupture; Myelofibrosis

Ask authors/readers for more resources

An 80-year-old male with myelofibrosis and chronic renal disease was admitted to the hospital due to severe anemia and gastrointestinal bleeding. After surgery to resect the small intestine, it was confirmed that the patient had variceal rupture in the small intestine, which stopped the bleeding and improved the anemia. This is the first reported case of ectopic jejunal varices in a patient with myelofibrosis.
An 80-year old man with myelofibrosis and chronic renal disease was admitted to our hospital because of severe anemia and gastrointestinal bleeding. Although no bleeding was observed by upper or lower endoscopy, contrast-enhanced computed tomography revealed an enhanced area in the small intestinal wall that was suspected of being the bleeding site, and was confirmed by double-balloon endoscopy. Based on endoscopic findings, it was difficult to differentiate between variceal rupture and collapse of a submucosal tumor. We performed segmental resection of the small intestine to make a definitive diagnosis and achieve reliable hemostasis. The gross findings confirmed a variceal rupture from the small intestine. His gastrointestinal bleeding stopped and his anemia improved following surgery. Although some cases of portal hypertension in association with myelofibrosis have been reported, we are aware of no prior reports of variceal rupture in the small intestine. To our knowledge, this is the first reported case of ectopic jejunal varices in a patient with myelofibrosis.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

3.8
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available