A Case of Bleeding Duodenal Varices in a Patient with Idiopathic Portal Hypertension.
- Author:
Seung Chan SONG
1
;
Dong Hyun SOHN
;
Gwang Ho MUN
;
Woo Kyoon RHO
;
Hee Sig MUN
;
Dong Soo HAN
;
Joo Hyun SOHN
;
Yong Chul JUN
;
Oh Young LEE
;
Byung Chul YOON
;
Ho Soon CHOI
;
Joon Soo HAHM
;
Min Ho LEE
;
Choon Suhk KEE
;
Kyung Nam PARK
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Bleeding duodenal varices;
Idiopathic portal hypertension
- MeSH:
Duodenum;
Esophageal and Gastric Varices;
Female;
Fibrosis;
Hemorrhage*;
Humans;
Hypertension, Portal*;
Melena;
Portal Vein;
Prognosis;
Splenic Vein;
Splenorenal Shunt, Surgical;
Varicose Veins*;
Young Adult
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(2):244-248
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bleeding duodenal varices are a rare complication in patients with portal hypertension. Cirrhosis followed by portal vein obstruction and splenic vein obstruction are the most common causes. Although the prognosis of bleeding duodenal varices is usually poor, an awareness of its characteristic presentation may enable diagnostic and therapeutic proce- dures to be performed rapidly with an increased likelihood of a reaching successful out- come. In this study, we report a case of bleeding duodenal varices in a 23-year-old woman with idiopathic portal hypertension who was also suffering with recurrent melena. Panendoscopy identified prominant tortuous varices with central erosion in the 3rd portion of the duodenum and no esophageal and gastric varices. The varices were successfully treated by distal splenorenal shunt.
