Ectopic Duodenal Variceal Bleed Successfully Treated with TIPS and 2 Years Follow-up: A Case Report

Overview

Journal Radiol Case Rep

Publisher Elsevier

Specialty Radiology

Date 2020 Jul 21

PMID 32685071

Citations 3

Authors

Mengying Liu

Weizhi Li

Peijie Li

Fuquan Ma

Hui Xue

Affiliations

Soon will be listed here.

Abstract

Duodenal varices are an uncommon presentation of portal hypertension and can result in significant gastrointestinal bleeding with a high mortality. Diagnosis can be difficult and therapeutic options limited. We present a case of upper gastrointestinal bleeding in a woman aged 54 years with primary biliary cholangitis who was ultimately diagnosed with ectopic duodenal variceal bleed, which was successfully treated with transjugular intrahepatic portosystemic shunt. Transjugular intrahepatic portosystemic shunt provide an effective treatment for ectopic duodenal variceal bleed caused by liver cirrhosis, though interventional radiologists need to remain aware of and vigilant for the complications and risks of this treatment option.

Citing Articles

Afferent vein embolization via retrograde approach as a potential treatment strategy for bleeding duodenal varices.

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PMID: 37789920 PMC: 10542599. DOI: 10.1016/j.radcr.2023.08.096.

Combination of transjugular intrahepatic portosystemic shunt and antegrade through-the-TIPS coil embolization for bleeding mixed-type ectopic ileal varices.

Michielan A, Vieceli F, Pravadelli C, Moser L, Agugiaro F, Luppi G Clin J Gastroenterol. 2023; 16(5):668-672.

PMID: 37452994 PMC: 10539418. DOI: 10.1007/s12328-023-01830-w.

Massive duodenal variceal hemorrhage in a patient with prior Roux-en-Y gastric bypass.

Sinjali K, Bent C Radiol Case Rep. 2021; 16(11):3304-3307.

PMID: 34484536 PMC: 8403701. DOI: 10.1016/j.radcr.2021.08.002.

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