NYMC Faculty Publications

Periampullary Variceal Bleeding: An Atypical Complication of Portal Hypertension

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).

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