@article{ajmcr2019743,
author={{Iqbal, Sadat and Likhtshteyn, Michelle and OˇŻBrien, Daniel and McFarlane, Samy I. and Martinez, Manuel},
title={Duodenal Varix Rupture ¨C A Rare Cause of Fatal Gastrointestinal Hemorrhage: A Case Report and Review of Literature},
journal={American Journal of Medical Case Reports},
volume={7},
number={4},
pages={62--66},
year={2019},
url={http://pubs.sciepub.com/ajmcr/7/4/3},
issn={2374-216X},
abstract={Duodenal varices are a rare complication of portal hypertension; with cirrhosis being the most common cause. Reports regarding the disease prognosis and natural history are limited. In addition to the diagnostic difficulty, ectopic duodenal varices pose a significant therapeutic challenge owing to the lack of specific management guidelines. Given the high risk of rupture, they can have devastating clinical outcomes. Rupture typically presents as a gastrointestinal hemorrhage and requires emergent interventions. We present a case of duodenal varix seen on upper endoscopy in a patient with portal hypertension and cirrhosis, together with review of the literature outlining the current understanding of this disease entity.  We also highlight the pathogenetic mechanisms as well as the current diagnostic and therapeutic approaches for this potentially fatal disease.},
doi={10.12691/ajmcr-7-4-3}
publisher={Science and Education Publishing}
}