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Esophageal varices in chronic intestinal insufficiency in absence of portal hypertension or liver cirrhosis: case report.

Abstract：

:We report the case of a 62-year-old man with short-bowel syndrome, referred for intestinal transplantation, who had esophageal varices (EV) due to superior vena cava (SVC) thrombosis. Pretransplantation work-up revealed protein S deficiency. Results of liver function tests were normal. Upper endoscopy showed grade II to III EV in the upper and middle segments of the esophagus. Computed tomography demonstrated thrombosis of the jugular, subclavian, and SVC veins and marked collateral vessels in the chest. Transient elastography yielded normal findings. A liver biopsy specimen showed a normal aspect of the liver, without fibrosis or liver cirrhosis. Presence of EV in a patient with chronic intestinal insufficiency may be related to collateral venous circulation associated with SVC thrombosis in the absence of portal hypertension. In this situation, an isolated intestinal graft is indicated.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Yandza T,Schneider SM,Novellas S,Badan L,Saint-Paul MC,Bounin PA,Rahili A,Zeanandin G,Benchimol D,Gugenheim J,Hébuterne X

doi

10.1016/j.transproceed.2009.12.024

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

103-5

issue

1

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(09)01780-1

journal_volume

42

pub_type

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