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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 21, 2015; 21(3): 1024-1027
Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.1024
Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.1024
Protein C deficiency related obscure gastrointestinal bleeding treated by enteroscopy and anticoagulant therapy
Wei-Fan Hsu, Chung-Jen Teng, Chen-Shuan Chung, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City 22060, Taiwan
Yuk-Ming Tsang, Department of Radiology, Far Eastern Memorial Hospital, New Taipei City 22060, Taiwan
Chen-Shuan Chung, College of Medicine, Fu Jen Catholic University, New Taipei City 24205, Taiwan
Chen-Shuan Chung, Taiwan Association for the Study of Small Intestinal Diseases, New Taipei City 22060, Taiwan
Author contributions: Hsu WF and Chung CS designed the research; Chung CS performed the enteroscopy; Tsang YM reviewed the computed tomography and angiography findings; Teng CJ reviewed the disease of protein C deficiency; Hsu WF wrote the paper; and Chung CS approved the final version.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Chen-Shuan Chung, MD, MSc, Department of Internal Medicine, Far Eastern Memorial Hospital, 21, Section 2, Nan-Ya South Road, Banciao District, New Taipei City 22060, Taiwan. chungchenshuan_3@yahoo.com.tw
Telephone: +886-2-89667000-1704 Fax: +886-2-77380091
Received: May 3, 2014
Peer-review started: May 4, 2014
First decision: June 27, 2014
Revised: July 6, 2014
Accepted: July 30, 2014
Article in press: July 30, 2014
Published online: January 21, 2015
Peer-review started: May 4, 2014
First decision: June 27, 2014
Revised: July 6, 2014
Accepted: July 30, 2014
Article in press: July 30, 2014
Published online: January 21, 2015
Core Tip
Core tip: This article presents a rare case of obscure gastrointestinal bleeding-jejunal variceal bleeding and superior mesenteric venous thrombosis. The variceal bleeding and superior mesenteric venous thrombosis were secondary to protein C deficiency. It is worth mentioning that the bleeding was controlled under anticoagulant therapy after therapeutic enteroscopy.