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Case Reports
. 2010 Jan 7;16(1):123-5.
doi: 10.3748/wjg.v16.i1.123.

Successful endoscopic sclerotherapy for cholecystojejunostomy variceal bleeding in a patient with pancreatic head cancer

Yu-Chun Hsu  1 , Hsu-Heng Yen, Yang-Yuan Chen, Maw-Soan Soon
Affiliations
Case Reports

Successful endoscopic sclerotherapy for cholecystojejunostomy variceal bleeding in a patient with pancreatic head cancer

Yu-Chun Hsu et al. World J Gastroenterol. .

Abstract

Variceal bleeding outside the esophagus and stomach is rare but important because of its difficult diagnosis and treatment. Bleeding from cholecystojejunostomy varices has been reported to be a late complication of palliative biliary surgery for chronic pancreatitis. Such ectopic variceal bleeding has never been reported after palliative surgery for pancreatic cancer, probably because of the limited lifespan of these patients. Herein, we report our successful experience using endoscopic cyanoacrylate sclerotherapy to treat bleeding from cholecystojejunostomy varices in a 57-year-old man with pancreatic head cancer. To our knowledge, this is the first case report in the literature of this rare complication.

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Figures

Figure 1
Figure 1
Endoscopic view. A: An anastomotic ulcer was observed in the cholecystojejunostomy; B: Anastomotic ulcer after argon plasma coagulation therapy; C: n-butyl-2-cyanoacrylate injection into the cholecystojejunostomy varices.
Figure 2
Figure 2
Abdominal computed tomography. A:Prominent vessels (arrow) formed around the gall bladder; B: Obliterated varicose vein (arrow).
See this image and copyright information in PMC

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