空腸静脈瘤から出血した先天性胆道閉鎖症術後門脈圧亢進症の1例

抄録

Portal hypertension after successful hepatic portoenterostomy is becoming a major problem in children with biliary atresia. Bleeding from the esophageal varices is common among these patients. However, bleeding from the mesenteric varices is extremely rare. In this paper, we reported a girl with postoperative bleeding from the jejunal varices. She had the hepatic porto-enterostomy at forty five days of her life with success, but started to bleed per recutum at two years and ten months of her age. The bleeding site was not esophageal varices and was difficult to detect by endoscopy or portography. Finally, red blood cell scintigraphy performed when the patient complained of another episode of abdominal pain, revealed a hot spot in the right upper abdomen. Jejunal varices was found at the site of previous enterostomy by operative endoscopy and was successfully resected.