Bleeding duodenal varices: a case report and review of literature

ABSTRACT

A rare case of a patient with bleeding duodenal varices diagnosed by endoscopy in which bleeding was controlled initially by sclerotherapy is reported. Diagnosis was confirmed by coeliac and superior mesenteric angiogram with selective injections of hepatic and gastroduodenal arteries. Recurrence of haemorrhage was treated successfully by suture ligation of duodenal varices alone, and a shunting procedure was not required. Duodenal varices should not be overlooked as a cause of gastrointestinal bleeding in patient with cirrhosis