Portal hypertension due to jejunal vascular malformation
- 26 Downloads
We report a case of hepatic portal venous hypertension secondary to a small-bowel vascular malformation in a 24-year-old man with anemia. Preoperative diagnostic evaluation included gastrointestinal barium studies and endoscopy (showing esophageal varices), hepatic panangiography, peroral small-bowel biopsy, percutaneous transhepatic portal venography, and manometry. Preoperative injection of methylene blue dye into the jejunal arteries supplying the malformation resulted in easy localization of the lesion at surgery. Direct manometry at the time of segmental jejunal resection yielded a portal pressure of 35 mmHg, with subsequent reduction to 21 mmHg.
Key wordsArteriovenous malformation, intestinal Portal hypertension, diagnosis
Unable to display preview. Download preview PDF.
- 1.Helikson MA, Shapiro DL, Seashore JH: Hepatoportal arteriovenous fistula and portal hypertension in an infant.Pediatrics 60:921–924, 1977Google Scholar
- 6.Nemir P Jr: Surgical aspects of vascular disorders involving the gut. In Bockus HL (ed):Gastroenterology. Philadelphia: WB Saunders, 1976, pp 359–370Google Scholar
- 8.Johnson PC: Digestive tract. A. Gastrointestinal circulation. In Selkhurt EE (ed):Physiology. Boston: Little, Brown, 1971, pp 569–578Google Scholar
- 9.Boijsen E: Superior mesenteric angiography. In Abrams HL (ed):Angiography. Boston: Little, Brown, 1971, pp 1091–1119Google Scholar