Reis H E, Moschinski D, Borchard F
Leber Magen Darm. 1982 Feb;12(1):23-31.
A case report is given of a 24 year old patient who had relapsing massive gastrointestinal bleeding from varices in the duodenum and jejunum, due to occlusion of the mesenterial vein. There is only one similar case described in the literature. 97 patients with varices of the small intestine have been described; in 41 of these cases there was extrahepatic, in 47 intrahepatic portal hypertension. In 60 of the 91 cases varices were found in the duodenum, less frequently in the ileum or jejunum too. In another 10 cases varices had formed around an ileostomy. In 1/3 of all cases abdominal surgery had preceded formation of varices in the small intestine. Pathogenesis, diagnosis and therapy are discussed.
报告了一例24岁患者，因肠系膜静脉阻塞，十二指肠和空肠静脉曲张反复大量胃肠道出血。文献中仅描述了一例类似病例。已描述了97例小肠静脉曲张患者；其中41例为肝外门静脉高压，47例为肝内门静脉高压。在91例病例中的60例中，十二指肠发现静脉曲张，回肠或空肠中也较少见。另外10例病例中，静脉曲张形成于回肠造口周围。在所有病例的1/3中，腹部手术先于小肠静脉曲张形成。文中讨论了发病机制、诊断和治疗。
