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Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make

We present a case of recurrent upper gastrointestinal (GI) bleeding in a man aged 57 years with primary biliary cholangitis who was ultimately diagnosed with an isolated duodenal variceal bleed, which was successfully treated with histoacryl glue injection. Duodenal varices are an uncommon presentat...

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Detalles Bibliográficos
Autores principales: Bhagani, Shradha, Winters, Conchubhair, Moreea, Sulleman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337649/
https://www.ncbi.nlm.nih.gov/pubmed/28242804
http://dx.doi.org/10.1136/bcr-2016-218669
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author Bhagani, Shradha
Winters, Conchubhair
Moreea, Sulleman
author_facet Bhagani, Shradha
Winters, Conchubhair
Moreea, Sulleman
author_sort Bhagani, Shradha
collection PubMed
description We present a case of recurrent upper gastrointestinal (GI) bleeding in a man aged 57 years with primary biliary cholangitis who was ultimately diagnosed with an isolated duodenal variceal bleed, which was successfully treated with histoacryl glue injection. Duodenal varices are an uncommon presentation of portal hypertension and can result in significant GI bleeding with a high mortality. Diagnosis can be difficult and therapeutic options limited. Endoscopic variceal sclerotherapy with histoacryl glue provides an effective treatment, though endoscopists need to remain aware of and vigilant for the serious complications of this treatment option.
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spelling pubmed-53376492017-03-20 Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make Bhagani, Shradha Winters, Conchubhair Moreea, Sulleman BMJ Case Rep Article We present a case of recurrent upper gastrointestinal (GI) bleeding in a man aged 57 years with primary biliary cholangitis who was ultimately diagnosed with an isolated duodenal variceal bleed, which was successfully treated with histoacryl glue injection. Duodenal varices are an uncommon presentation of portal hypertension and can result in significant GI bleeding with a high mortality. Diagnosis can be difficult and therapeutic options limited. Endoscopic variceal sclerotherapy with histoacryl glue provides an effective treatment, though endoscopists need to remain aware of and vigilant for the serious complications of this treatment option. BMJ Publishing Group 2017-02-27 /pmc/articles/PMC5337649/ /pubmed/28242804 http://dx.doi.org/10.1136/bcr-2016-218669 Text en 2017 BMJ Publishing Group Ltd This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Article
Bhagani, Shradha
Winters, Conchubhair
Moreea, Sulleman
Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
title Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
title_full Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
title_fullStr Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
title_full_unstemmed Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
title_short Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
title_sort duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337649/
https://www.ncbi.nlm.nih.gov/pubmed/28242804
http://dx.doi.org/10.1136/bcr-2016-218669
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