Yılmaz, Ömer Atatürk University - School of Medicine - Department of Gastroenterology, Turkey , Ataseven, Hilmi Cumhuriyet University - School of Medicine - Department of Gastroenterology, Turkey

An unusual cause of upper gastrointestinal system bleeding: Duodenal varices

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Duodenal varices are an uncommon site of hemorrhage in patients with portal hypertension, but their rupture is a serious and often fatal event. We report the case of a 27- year- old man with liver cirrhosis who presented with upper gastrointestinal bleeding. Upper gastrointestinal endoscopy revealed nodular varices in the second portion of the duodenum which were considered to be the source of bleeding. We decided to inject N-butyl-2-cyanoacrylate (Histoacryl), an adhesive agent, and achieved successful hemostasis. We conclude that endoscopic injection sclerotherapy (EIS) with Histoacryl is an effective treatment option for ruptured duodenal varices.

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Duodenal varices , upper gastrointestinal hemorrhage , hemostasis

Cumhuriyet Medical Journal

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