A case report of bleeding from duodenal varices treated with percutaneous transhepatic obliteration

Duodenal varices are ectopic in nature and account for 40% of all ectopic bleeding cases. Ectopic variceal bleeding is rare (1%-5% of all variceal bleeding cases). The three principle approaches used to treat duodenal varices are endoscopic procedures, interventional radiological methods, and surgic...

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Bibliographic Details
Published in:International journal of gastrointestinal intervention 2019, 8(4), , pp.174-177
Main Authors: Lee, Ji Hyun, Kim, Tae Hwan, Choi, Jong Won, Kim, Sun Young, Choi, Jin Young, Lee, Chun Kyon, Park, Byung Kyu, Chung, Jae Bok
Format: Article
Language:English
Subjects:
duodenal varices
ectopic varices
endoscopic injection sclerotherapy
percutaneous transhepatic obliteration
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Summary:Duodenal varices are ectopic in nature and account for 40% of all ectopic bleeding cases. Ectopic variceal bleeding is rare (1%-5% of all variceal bleeding cases). The three principle approaches used to treat duodenal varices are endoscopic procedures, interventional radiological methods, and surgical interventions. A 59-year-old male with alcoholic liver cirrhosis and chronic hepatitis B infection visited our gastroenterology department with melena. Gastroduodenoscopy and computed tomography identified varices in the second part of the duodenum. We performed percutaneous transhepatic obliteration using glue and coil embolization, which obliterated the varices and resulted in immediate hemostasis. However, 3 months later, he re-visited presenting with newly developed duodenal varices and underwent endoscopic injection sclerotherapy.
ISSN:2636-0004
2636-0012
2636-0012
DOI:10.18528/ijgii190002