Résumé
L’hémorragie digestive par rupture de varices ectopiques est une complication rare de l’hypertension portale (HTP). La rareté de cette situation d’urgence explique le manque de consensus concernant sa prise en charge. Le traitement peut être médical, radiologique, chirurgical ou endoscopique. L’endoscopie dans ce cas peut être techniquement rendue difficile pour des raisons d’accessibilité comme dans le cas de varices grêliques. Nous vous présentons le cas d’une patiente ayant des varices anastomotiques cholédocojéjunales hémorragiques traitées efficacement par encollage grâce à l’entéroscopie à double ballon.
Abstract
Gastrointestinal bleeding secondary to rupture from ectopic varices is an infrequent complication due to portal hypertension. The unusual happening of this emergency situation explains the lack of consensus regarding its management. The treatment may be medical, radiological, surgical or endoscopic. The endoscopy in this case can be technically difficult for accessibility reasons, as in the case of small-bowel varices. We present the case of a patient with bleeding varices from choledoco-jejunal anastomosis treated effectively by sclerotherapy with double balloon enteroscopy.
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Gomercic, C., Vanbiervliet, G., Rakotoarisoa, C. et al. Hémostase endoscopique par entéroscopie double ballon de varices anastomotiques cholédocojéjunales. Acta Endosc 41, 62–64 (2011). https://doi.org/10.1007/s10190-011-0145-4
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DOI: https://doi.org/10.1007/s10190-011-0145-4