-Case Reports-

Successful Emergency Enterectomy for Bleeding Ileal Varices in a Patient with Liver Cirrhosis

Junji Ueda¹, Hiroshi Yoshida¹, Yasuhiro Mamada¹, Nobuhiko Taniai¹, Yoshiaki Mizuguchi¹, Tetsuya Shimizu¹, Satoshi Matsumoto¹, Daisuke Kakinuma¹, Yoshinori Ishikawa¹, Tomoharu Kanda¹, Koho Akimaru¹, Nobuhisa Teranishi¹, Zenya Naito² and Takashi Tajiri¹

¹Surgery for Organ Function and Biological Regulation, Nippon Medical School Graduate School of Medicine
²Integrative Pathology, Nippon Medical School Graduate School of Medicine

We report a rare case of bleeding ileal varices successfully treated with emergency enterectomy. A 72-year old woman with hepatic cirrhosis due to hepatitis C was admitted to our hospital because of anemia and hematochezia. An endoscopic examination showed no evidence of bleeding in the upper and lower gastrointestinal tracts. Angiographic studies of portal hemodynamics revealed extravasation from the ileal varices and total occlusion of the portal vein due to portal thrombus. This made it difficult to remove the ileal varices using interventional radiology. Therefore, the patient underwent emergency enterectomy for the ileal varices. No further gastrointestinal bleeding occurred during the 1-year follow-up.

J Nippon Med Sch 2006; 73: 221-225

Keywords
ileal varices, enterectomy, liver cirrhosis

Correspondence to
Junji Ueda, MD, Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
Junji0821@nms.ac.jp

Received, February 14, 2006.
Accepted, April 25, 2006.