Skip to main content
Log in

Massive gastrointestinal bleeding from splenojejunal varices in a child: A complication of splenic-vein occlusion following near-total pancreatectomy for hyperinsulinemic hypoglycemia

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Severe jejunal variceal bleeding occurred in a child with splenic-vein occlusion following a near-total pancreatectomy for hyperinsulinemic hypoglycemia. This rare sequela of splenic-vein occlusion required dismantling of the varices and splenectomy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bevin AG, Pickett LK (1967) Thrombosis of the splenic vein. J Pediatr Surg 2: 320–324

    PubMed  Google Scholar 

  2. Bjerke HS, Kelly RE, Geffner ME, Fonkalsrud EW (1990) Surgical management of islet cell dysmaturation syndrome in young children. Surg Gynecol Obstet 171: 321–325

    PubMed  Google Scholar 

  3. Glynn MJ (1986) Isolated splenic vein thrombosis. Arch Surg 121: 723–725

    PubMed  Google Scholar 

  4. Martin LW, Ryckman FC, Sheldon CA (1984) Experience with 95% pancreatectomy and splenic salvage for nesidioblastosis. Ann Surg 200: 355–362

    PubMed  Google Scholar 

  5. Norton JA, Stovroff MC (1988) Invited commentary. World J Surg 12: 608–609

    Google Scholar 

  6. Simpson WG, Schwartz RW, Strodel WE (1990) Splenic vein thrombosis. South Med J 83: 417–421

    PubMed  Google Scholar 

  7. Thomas CG, Cuenca RE, Azizkhan RG, et al (1988) Changing concepts of islet cell dysplasia in neonatal and infantile hyperinsulinism. World J Surg 12: 598–609

    PubMed  Google Scholar 

  8. Warden MJ, German JC, Buckingham BA (1988) The surgical management of hyperinsulinism in infancy due to nesidioblastosis. J Pediatr Surg 23: 462–465

    PubMed  Google Scholar 

  9. Yuki N, Kubo M, Noro Y, et al (1992) Jejunal varices as a cause of massive gastrointestinal bleeding. Am J Gastroent 87: 514–517

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Weiner, T.M., Thomas, C.G. & Azizkhan, R.G. Massive gastrointestinal bleeding from splenojejunal varices in a child: A complication of splenic-vein occlusion following near-total pancreatectomy for hyperinsulinemic hypoglycemia. Pediatr Surg Int 9, 421–422 (1994). https://doi.org/10.1007/BF01686024

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01686024

Key words

Navigation