Ectopic variceal bleeding is both a diagnostic dilemma and
a therapeutic challenge, especially when it is located in the
third part of the duodenum. Varix is rare in the absence of
cirrhosis or portal hypertension. Because the diagnosis of
this condition is usually delayed, treatment is administered
late resulting in high morbidity and mortality rate. We report
a case of a 61-year-old lady with an idiopathic duodenal
varix presenting as an upper gastrointestinal bleeding.
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