An unusual cause of upper gastrointestinal system bleeding: Duodenal varices
Abstract
Abstract
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.
Keywords: Duodenal varices, upper gastrointestinal hemorrhage, hemostasis
Özet
Duodenal varisler, portal hipertansiyonu olan hastalarda nadir fakat ciddi ve ölümcül bir kanama nedenidir. Üst gastrointestinal kanama ile gelen karaciğer sirozu olan 27 yaşında bir erkek hastayı sunduk. Üst gastrointestinal sistem endoskopisinde, kanama kaynağının duodenum ikinci kısımdaki nodüler varisden olduğunu gördük. Biz adheziv bir ajan olan N-butyl-2-cyanoacrylate (Histoacryl) enjekte ettik ve başarılı bir hemostaz sağladık. Histoacryl ile endoskopik enjeksiyon skleroterapisinin kanayan duodenal varisler için etkili bir tedavi seçeneği olduğuna inanıyoruz.
Anahtar sözcükler: Duodenal varisler, üst gastrointestinal kanama, hemostaz
Keywords
References
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Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
June 21, 2012
Submission Date
October 1, 2011
Acceptance Date
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Published in Issue
Year 1970 Volume: 34 Number: 2