|
KMID : 1103920110170020152
|
|
Korean Journal of Hepatology
2011 Volume.17 No. 2 p.152 ~ p.156
|
|
|
Ruptured duodenal varices arising from the main portal vein successfully treated with endoscopic injection sclerotherapy: a case report
|
|
Kang Ha-Yan
Lee Won-Kyung
Kim Yong-Hyun
Kwon Byung-Woon
Kang Myung-Soo
Kim Suk-Bae
Song Il-Han
|
|
|
Abstract
|
|
|
|
Duodenal varices result from retroperitoneal portosystemic shunts that usually come from the pancreaticoduodenal vein and drain into the inferior vena cava. Because they are a rare but fatal cause of gastrointestinal bleeding, a prompt hemostatic intervention is mandatory. A 62-year-old man who had a history of excessive alcohol consumption presented with massive hematemesis and melena. Emergent endoscopy revealed ruptured varices with an adhering whitish fibrin clot on the postbulbar portion of the duodenum. Abdominal computed tomography demonstrated a cirrhotic liver with venous collaterals around the duodenum and extravasated contrast in the second and third portions. The collaterals originated from the main portal vein and drained via the right renal vein into the inferior vena cava. Endoscopic injection sclerotherapy with cyanoacrylate was successful in achieving hemostasis, and resulted in the near eradication of duodenal varices at a 6-month follow-up.
|
|
|
KEYWORD
|
|
|
Duodenal varices, Endoscopic injection sclerotherapy, Portal hypertension, Cirrhosis
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
   
|