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Park SW, Cho E, Jun CH, et al. Upper gastrointestinal ectopic variceal bleeding treated with various endoscopic modalities: Case reports and literature review. Medicine (Baltimore). 2017; 96(1): e5860.

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Article

Duodenal Varix Rupture – A Rare Cause of Fatal Gastrointestinal Hemorrhage: A Case Report and Review of Literature

1Department of Internal Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA

2Department of Gastroenterology, Veterans Affairs Hospital, Brooklyn, NY, USA


American Journal of Medical Case Reports. 2019, Vol. 7 No. 4, 62-66
DOI: 10.12691/ajmcr-7-4-3
Copyright © 2019 Science and Education Publishing

Cite this paper:
Sadat Iqbal, Michelle Likhtshteyn, Daniel O’Brien, Samy I. McFarlane, Manuel Martinez. Duodenal Varix Rupture – A Rare Cause of Fatal Gastrointestinal Hemorrhage: A Case Report and Review of Literature. American Journal of Medical Case Reports. 2019; 7(4):62-66. doi: 10.12691/ajmcr-7-4-3.

Correspondence to: Samy  I. McFarlane, Department of Internal Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA. Email: Samy.mcfarlane@downstate.edu

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.

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