Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge
Introduction. Massive ileal variceal bleeding is a rare intricate condition that needs rapid management and treatment. The absence of randomized clinical trials in this field leads to a lack of evidence-based diagnostic and therapeutical approaches. We present a case report describing imaging, endos...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/7072961 |
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| author | Marek Cingel Jakub Benko Matej Samoš Marián Mokáň |
| author_facet | Marek Cingel Jakub Benko Matej Samoš Marián Mokáň |
| author_sort | Marek Cingel |
| collection | DOAJ |
| description | Introduction. Massive ileal variceal bleeding is a rare intricate condition that needs rapid management and treatment. The absence of randomized clinical trials in this field leads to a lack of evidence-based diagnostic and therapeutical approaches. We present a case report describing imaging, endoscopic, and surgical procedures leading to the diagnosis and resolution of severe ileal variceal bleeding. Case Report. We admitted a 63-year-old patient for recurrent anemia and ongoing bleeding from the gastrointestinal tract presenting as enterorrhagia. We were not able to elucidate the source by endoscopic, angiographic, or nuclear imaging methods. As a last resort, we carried out a surgical procedure with peroperative enteroscopy and subsequent resection of the affected part of the intestine. Conclusion. We present a patient with a case of ileal variceal bleeding, which required extensive diagnostic and therapeutic effort with a unique peroperative enteroscopic approach. |
| format | Article |
| id | doaj-art-97cebbf049194cfe9955e86705fd7dd9 |
| institution | OA Journals |
| issn | 2090-6536 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-97cebbf049194cfe9955e86705fd7dd92025-08-20T02:10:09ZengWileyCase Reports in Gastrointestinal Medicine2090-65362022-01-01202210.1155/2022/7072961Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic ChallengeMarek Cingel0Jakub Benko1Matej Samoš2Marián Mokáň3Clinic of Internal Medicine I of University Hospital MartinClinic of Internal Medicine I of University Hospital MartinClinic of Internal Medicine I of University Hospital MartinClinic of Internal Medicine I of University Hospital MartinIntroduction. Massive ileal variceal bleeding is a rare intricate condition that needs rapid management and treatment. The absence of randomized clinical trials in this field leads to a lack of evidence-based diagnostic and therapeutical approaches. We present a case report describing imaging, endoscopic, and surgical procedures leading to the diagnosis and resolution of severe ileal variceal bleeding. Case Report. We admitted a 63-year-old patient for recurrent anemia and ongoing bleeding from the gastrointestinal tract presenting as enterorrhagia. We were not able to elucidate the source by endoscopic, angiographic, or nuclear imaging methods. As a last resort, we carried out a surgical procedure with peroperative enteroscopy and subsequent resection of the affected part of the intestine. Conclusion. We present a patient with a case of ileal variceal bleeding, which required extensive diagnostic and therapeutic effort with a unique peroperative enteroscopic approach.http://dx.doi.org/10.1155/2022/7072961 |
| spellingShingle | Marek Cingel Jakub Benko Matej Samoš Marián Mokáň Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge Case Reports in Gastrointestinal Medicine |
| title | Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge |
| title_full | Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge |
| title_fullStr | Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge |
| title_full_unstemmed | Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge |
| title_short | Recurrent Ileal Variceal Bleeding as a Diagnostic and Therapeutic Challenge |
| title_sort | recurrent ileal variceal bleeding as a diagnostic and therapeutic challenge |
| url | http://dx.doi.org/10.1155/2022/7072961 |
| work_keys_str_mv | AT marekcingel recurrentilealvaricealbleedingasadiagnosticandtherapeuticchallenge AT jakubbenko recurrentilealvaricealbleedingasadiagnosticandtherapeuticchallenge AT matejsamos recurrentilealvaricealbleedingasadiagnosticandtherapeuticchallenge AT marianmokan recurrentilealvaricealbleedingasadiagnosticandtherapeuticchallenge |