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The contrast-enhanced abdominal CT revealed severe stenosis of the extrahepatic portal vein and large afferent jejunal varices at the choledochojejunostomy, suspected as the cause of her persistent bleed. The recommendation was a percutaneous transhepatic approach for stenting of the portal vein stenosis that resulted in rapid decompression of the jejunal varices and control of her haemorrhage.<\/jats:p>","DOI":"10.1136\/bcr-2018-228680","type":"journal-article","created":{"date-parts":[[2019,3,8]],"date-time":"2019-03-08T05:18:28Z","timestamp":1552022308000},"page":"e228680","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Jejunal varices: an unconsidered cause of recurrent gastrointestinal haemorrhage"],"prefix":"10.1136","volume":"12","author":[{"given":"Caleb Joseph","family":"Heiberger","sequence":"first","affiliation":[{"name":"Sanford School of Medicine, University of South Dakota, Sioux Falls, South Dakota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tej Ishaan","family":"Mehta","sequence":"additional","affiliation":[{"name":"Sanford School of Medicine, University of South Dakota, Sioux Falls, South Dakota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Yim","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,3,7]]},"reference":[{"key":"2025082700553569000_12.3.e228680.1","doi-asserted-by":"publisher","DOI":"10.9738\/INTSURG-D-13-00128.1"},{"key":"2025082700553569000_12.3.e228680.2","doi-asserted-by":"crossref","first-page":"321","DOI":"10.3346\/jkms.2012.27.3.321","article-title":"Jejunal variceal bleeding successfully treated with percutaneous coil embolization","volume":"27","author":"Koo","year":"2012","journal-title":"J Korean Med Sci"},{"key":"2025082700553569000_12.3.e228680.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-004-0941-4"},{"key":"2025082700553569000_12.3.e228680.4","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1016\/0016-5085(85)90027-7","article-title":"Gastrointestinal hemorrhage associated with chronic mesenteric venous occlusion","volume":"88","author":"Soper","year":"1985","journal-title":"Gastroenterology"},{"key":"2025082700553569000_12.3.e228680.5","first-page":"514","article-title":"Jejunal varices as a cause of massive gastrointestinal bleeding","volume":"87","author":"Yuki","year":"1992","journal-title":"Am J Gastroenterol"},{"key":"2025082700553569000_12.3.e228680.6","doi-asserted-by":"publisher","DOI":"10.1007\/s005350070037"},{"key":"2025082700553569000_12.3.e228680.7","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1111\/j.1445-2197.2008.04658.x","article-title":"Bleeding isolated jejunal varices without portal hypertension","volume":"78","author":"Deshpande","year":"2008","journal-title":"ANZ J Surg"},{"key":"2025082700553569000_12.3.e228680.8","first-page":"1367","article-title":"Interventional therapy for symptomatic-benign portal vein occlusion","volume":"57","author":"Liu","year":"2010","journal-title":"Hepatogastroenterology"},{"key":"2025082700553569000_12.3.e228680.9","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1007\/s00383-007-1974-y","article-title":"Transileocolic venous balloon dilatation for the management of primary and recurrent portal venous stenosis after living donor liver transplantation in children","volume":"23","author":"Hotta","year":"2007","journal-title":"Pediatr Surg Int"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-228680","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:55:45Z","timestamp":1756281345000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-228680"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,3,7]]},"published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1136\/bcr-2018-228680"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-228680","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3]]}}}