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. 2014:2014:140959.
doi: 10.1155/2014/140959. Epub 2014 Sep 22.

Bleeding ectopic varices as the first manifestation of portal hypertension

Brij Sharma  1 , Sujeet Raina  2 , Rajesh Sharma  1
Affiliations

Bleeding ectopic varices as the first manifestation of portal hypertension

Brij Sharma et al. Case Reports Hepatol. 2014.

Abstract

Ectopic varices are defined as dilated portosystemic collateral veins in locations other than the gastroesophageal region. We present a case of recurrent upper gastrointestinal bleeding as the first manifestation of portal hypertension. We diagnosed ectopic duodenal varices without gastroesophageal varices on upper GI endoscopy and extrahepatic portal venous obstruction (EHPVO) on CT angiography and managed this case.

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Figures

Figure 1
Figure 1
(a) Upper GI endoscopic image showing fresh blood in stomach. (b) Upper GI endoscopic image showing large duodenal varices.
Figure 2
Figure 2
CT angiogram showing a coronal view of multiple collaterals (arrow) with poorly localized portal vein.
See this image and copyright information in PMC

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