Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension

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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Main Authors: Zahava C. Farkas, Priyanka Chugh, Shalom Frager, Khwaja F. Haq, Muhammad Ali Khan, Shantanu Solanki, Edward Esses, Gregory Veillette, Roxana Bodin
Format: Article
Language:English
Published: Hindawi Limited 2018-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2018/4643695
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spelling doaj-482cdada71e54cc2a37346db3e3429622020-11-24T22:21:39ZengHindawi LimitedCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/46436954643695Periampullary Variceal Bleeding: An Atypical Complication of Portal HypertensionZahava C. Farkas0Priyanka Chugh1Shalom Frager2Khwaja F. Haq3Muhammad Ali Khan4Shantanu Solanki5Edward Esses6Gregory Veillette7Roxana Bodin8Department of Medicine, New York Medical College at Westchester Medical Center, Valhalla, NY, USADivision of Gastroenterology and Hepatobiliary Disease, New York Medical College at Westchester Medical Center, Valhalla, NY, USADivision of Gastroenterology and Hepatobiliary Disease, New York Medical College at Westchester Medical Center, Valhalla, NY, USADepartment of Medicine, New York Medical College at Westchester Medical Center, Valhalla, NY, USADivision of Gastroenterology and Hepatobiliary Disease, University of Tennessee Health Science Center, Memphis, TN, USAInternal Medicine, New York Medical College at Westchester Medical Center, Valhalla, NY, USADepartment of Radiology, New York Medical College at Westchester Medical Center, Valhalla, NY, USADepartment of Hepatobiliary Surgery, New York Medical College at Westchester Medical Center, Valhalla, NY, USADivision of Gastroenterology and Hepatobiliary Disease, New York Medical College at Westchester Medical Center, Valhalla, NY, USAVariceal 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).http://dx.doi.org/10.1155/2018/4643695
collection DOAJ
language English
format Article
sources DOAJ
author Zahava C. Farkas
Priyanka Chugh
Shalom Frager
Khwaja F. Haq
Muhammad Ali Khan
Shantanu Solanki
Edward Esses
Gregory Veillette
Roxana Bodin
spellingShingle Zahava C. Farkas
Priyanka Chugh
Shalom Frager
Khwaja F. Haq
Muhammad Ali Khan
Shantanu Solanki
Edward Esses
Gregory Veillette
Roxana Bodin
Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension
Case Reports in Gastrointestinal Medicine
author_facet Zahava C. Farkas
Priyanka Chugh
Shalom Frager
Khwaja F. Haq
Muhammad Ali Khan
Shantanu Solanki
Edward Esses
Gregory Veillette
Roxana Bodin
author_sort Zahava C. Farkas
title Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension
title_short Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension
title_full Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension
title_fullStr Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension
title_full_unstemmed Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension
title_sort periampullary variceal bleeding: an atypical complication of portal hypertension
publisher Hindawi Limited
series Case Reports in Gastrointestinal Medicine
issn 2090-6528
2090-6536
publishDate 2018-01-01
description 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).
url http://dx.doi.org/10.1155/2018/4643695
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