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Case Reports
. 2023 Aug 20;15(8):e43783.
doi: 10.7759/cureus.43783. eCollection 2023 Aug.

An Unusual Case of Isolated Duodenal Varices With Superior Mesenteric Vein Thrombosis

Adbulmalik M Alsabban  1 , Mohammed J Almatrafi  2 , Zaffar M Malik  3 , Inayatulla Y Khiji  1 , Mohammed K Shariff  1
Affiliations
Case Reports

An Unusual Case of Isolated Duodenal Varices With Superior Mesenteric Vein Thrombosis

Adbulmalik M Alsabban et al. Cureus. .

Abstract

Duodenal varices usually occur due to portal hypertension and are rare causes of gastrointestinal tract bleeding. We report a unique case of a previously fit patient who presented with melena and was found to have isolated duodenal varices (DV) in the third part on esophagogastroduodenoscopy. No esophageal or gastric varices were noticed. The duodenal varices were successfully managed by endoscopic banding. A computerized tomography scan of the abdomen to further investigate the cause confirmed duodenal varices and revealed superior mesenteric vein thrombosis. The liver was normal with patent hepatic and portal veins. No evidence of thrombophilia was found. Apixaban was prescribed for superior mesenteric vein thrombosis and on follow-up. no further bleeding was reported.

Keywords: duodenal varices; endoscopic variceal banding; esophagogastroduodenoscopy (egd); mesenteric vein thrombosis; upper gastrointestinal(ugi) bleeding.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Multiple large varices in the third part of the duodenum
Figure 2
Figure 2. Duodenal varices post banding
Figure 3
Figure 3. Thrombus in the superior mesenteric vein (red arrow)
Figure 4
Figure 4. Large duodenal varices (red arrow)
See this image and copyright information in PMC

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