Severe intestinal bleeding due to sinistral portal hypertension after pylorus-preserving pancreatoduodenectomy | Zendy

Kumi Ozaki | Zendy; Junichiro Sanada | Zendy; Toshifumi Gabata | Zendy; Takahiro Ogi | Zendy; Hiroyuki Takamura | Zendy; Tetsuo Ohta | Zendy; Osamu Matsui | Zendy

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Severe intestinal bleeding due to sinistral portal hypertension after pylorus-preserving pancreatoduodenectomy

Author(s) -

Kumi Ozaki,

Junichiro Sanada,

Toshifumi Gabata,

Takahiro Ogi,

Hiroyuki Takamura,

Tetsuo Ohta,

Osamu Matsui

Publication year - 2009

Publication title -

abdominal radiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.824

H-Index - 74

eISSN - 2366-004X

pISSN - 2366-0058

DOI - 10.1007/s00261-009-9589-5

Subject(s) - medicine , pylorus , portal hypertension , gastric varices , jejunum , gastroenterology , pancreas , varices , hepatology , abdomen , surgery , general surgery , radiology , stomach , cirrhosis

A rare case of severe intestinal bleeding caused by sinistral portal hypertension after pylorus-preserving pancreatoduodenectomy is reported. Examinations revealed that the developed collateral vessels adjacent to the pancreas and elevated jejunum in the right upper abdomen were the source of the intestinal bleeding, and typical gastric varices were not identified. The present case showed atypical development of collateral vessels due to the postoperative state, which made diagnosis difficult.

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