Gastrointestinal bleeding 30 years after a complicated cholecystectomy

Figure 1 Course of red blood cell count.

Figure 2 Endoscopic view of the biliodigestive anastomosis. Prominent varices with signs of active bleeding were visible (A); Arrow: Hepatic bifurcation; asterisk: Varices within jejunal loop (B).

Figure 3 Obliteration of the varices by endoscopic injection of cyanoacrylate (histoacryl)-lipiodol. Arrow (A): Hepatic bifurcation; asterisk: Endoscopic needle; Arrow (B): Occluded varix with site of injection.

Figure 4 Computed tomography images of the abdomen on 5 d after variceal obliteration. The contrast-enhancing histoacryl-lipiodol deposits were detected within the varices (arrows, A). Small amounts of contrast were visualized intrahepatic (B).