{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T05:55:51Z","timestamp":1764222951555,"version":"3.46.0"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We present the case of a 58-year-old female with a history of a bleeding duodenal peptic ulcer. Endoscopic hemostasis was unsuccessful; therefore, a transcatheter arterial embolization of a culprit vessel was performed. She was admitted to the hospital two months later because of obstruction of the common bile duct with cholangitis. Attempts to endoscopically place a biliary stent failed. The treating medical team opted for a surgical choledocho-jejunostomy. After 20 months, she presented with a melena and a severe anemia. Diagnostic work-up revealed portal vein thrombosis with portal cavernoma and bleeding choledocho-jejunostomy varices. The case presents and discusses rare complications of duodenal ulcer disease, as well as possible causes and treatment options.<\/jats:p>","DOI":"10.1055\/a-2172-9437","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T18:55:18Z","timestamp":1695754518000},"page":"747-751","source":"Crossref","is-referenced-by-count":0,"title":["An unusual case of severe gastrointestinal bleeding"],"prefix":"10.1055","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2017-7927","authenticated-orcid":false,"given":"Darinka","family":"Purg","sequence":"additional","affiliation":[{"name":"University Medical Centre Maribor, Maribor, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jurij","family":"Han\u017eel","sequence":"additional","affiliation":[{"name":"University Medical Centre Ljubljana, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luka","family":"Strni\u0161a","sequence":"additional","affiliation":[{"name":"University Medical Centre Ljubljana, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samo","family":"Plut","sequence":"additional","affiliation":[{"name":"University Medical Centre Ljubljana, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjo","family":"Finderle","sequence":"additional","affiliation":[{"name":"University Medical Centre Ljubljana, Ljubljana, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreja","family":"Ocepek","sequence":"additional","affiliation":[{"name":"University Medical Centre Maribor, Maribor, Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nejc","family":"Sever","sequence":"additional","affiliation":[{"name":"University Medical Centre Ljubljana, Ljubljana, 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