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Successful jejunal variceal obliteration with n-butyl-2-cyanoacrylate injection - Menção honrosa (Fotografia)
João Correia, João Carlos Silva, Adélia Rodrigues, Ana Ponte, Edgar Afecto, Manuela Estevinho, Teresa Freitas
Serviço de Gastrenterologia, Centro Hospitalar de Vila Nova de Gaia/Espinho
A cirrhotic patient was admitted in the emergency department due to melena with hemodynamic instability. On upper endoscopy, no lesions or blood were found. A contrasted CT was performed, revealing several ectopic intestinal varices located in the Treitz angle.<br />Due to the possibility of small-bowel portal hypertensive bleeding, an antegrade balloon assisted enteroscopy was performed, revealing active bleeding from a jejunal varix. Successful jejunal variceal obliteration was performed with injection of 1mL of n-butyl-2-cyanoacrylate. The patient was then admitted in the ICU and was discharged from the hospital two weeks later without evidence of rebleeding.
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