Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension

Authors

Zahava C. Farkas, New York Medical College
Priyanka Chugh, New York Medical College
Shalom Frager, New York Medical College
Khwaja F. Haq, New York Medical College
Muhammad Ali Khan, New York Medical College
Shantanu Solanki, New York Medical College
Edward Esses, New York Medical College
Gregory Veillette, New York Medical CollegeFollow
Roxana Bodin, New York Medical CollegeFollow

DOI

10.1155/2018/4643695

Journal Title

Case Reports in Gastrointestinal Medicine

First Page

Art. ID.: 4643695

Document Type

Article

Publication Date

May 2018

Department

Surgery

Abstract

Variceal bleeding remains a fatal complication of portal hypertension. Periampullary varices are rare and, due to their location, are difficult to diagnose and treat. Similar to esophagogastric varices, they are the result of high portosystemic pressures secondary to intrahepatic causes such as cirrhosis and extrahepatic causes such as portal or splenic vein thrombosis. We report a case of a periampullary varix resulting in hemobilia during endoscopic retrograde cholangiopancreatography (ERCP).

Recommended Citation

Farkas, Z. C., Chugh, P., Frager, S., Haq, K., Khan, M., Solanki, S., Esses, E., Veillette, G., & Bodin, R. (2018). Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension. Case Reports in Gastrointestinal Medicine, 2018, Art. ID.: 4643695. https://doi.org/10.1155/2018/4643695