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Case Reports
. 2010 Dec;3(6):281-286.
doi: 10.4021/gr249w. Epub 2010 Nov 20.

A Case of Isolated Duodenal Varices Secondary to Chronic Pancreatitis with Review of Literature

Venugopala Bommana  1 , Prasun Shah  2 , Michael Kometa  1 , Rawan Narwal  1 , Prashant Sharma  1
Affiliations
Case Reports

A Case of Isolated Duodenal Varices Secondary to Chronic Pancreatitis with Review of Literature

Venugopala Bommana et al. Gastroenterology Res. 2010 Dec.

Abstract

An unusual case of upper gastrointestinal hemorrhage due to an isolated varix involving the 2nd part of the duodenum is presented here. The varix was the result of Chronic Pancreatitis induced the superior mesenteric vein obstruction. The diagnosis was made preoperatively by upper gastrointestinal endoscopy and selective mesenteric angiogram. Patient was treated successfully with Mesocaval shunt surgery between the superior mesenteric vein and the inferior vena cava using a 10 mm Dacron graft. This is the unique case showing hemorrhagic complication of Chronic Pancreatitis due to the superior mesenteric vein obstruction.

Keywords: Hemetemesis; Hemorrhagic complications of pancreatitis; Isolated duodenal varices; Superior mesenteric vein obstruction.

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Figures

Figure 1
Figure 1
Liver Biopsy showing normal architecture
Figure 2
Figure 2
Duodenal varix in EGD
Figure 3
Figure 3
Venous phase of the superior mesenteric artery injection showing varices in the region of the duodenum
See this image and copyright information in PMC

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