An Unusual Cause of Upper Gastrointestinal Bleeding: Duodenal Vascular Ectasia after Splenectomy
نویسندگان
چکیده
Cavernomatous transformation of portal vein (CTPV) is characterized by a collateral network of veins in the hepatic hilum that bypasses an obstructed or occluded extrahepatic portal vein. We report a case of CTPV, 25 years after splenectomy in a 39-year-old man with acute and chronic blood loss from duodenal vascular ectasia without esophageal or gastric varices or portal hypertensive gastropathy. This case demonstrates that distal part of duodenum assessment is important in gastrointestinal bleeding of patients with CTPV. Abbreviations: GI: Gastrointestinal; CTPV: Cavernomatous transformation of portal vein; CT: Computed tomography; PHD: Portal hypertensive duodenopathy.
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