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. 2025 Mar 17;6(2):206-208.
doi: 10.1002/jpr3.70017. eCollection 2025 May.

A case report of successful band ligation of bleeding anastomotic duodenal varix in an adolescent patient

Lauren E Hamilton  1 , Joshua Carroll  2 , Paul Tran  3
Affiliations

A case report of successful band ligation of bleeding anastomotic duodenal varix in an adolescent patient

Lauren E Hamilton et al. JPGN Rep. .

Abstract

Ectopic varices are defined as portosystemic venous collaterals occurring in the gastrointestinal tract outside of the cardio-esophageal region. Duodenal varices are not routinely encountered by pediatric gastroenterologists. At the time of this case report, there are no consensus guidelines on the management of bleeding duodenal varices in pediatric patients. This is a case of a 14-year-old young woman with a history of multi-visceral transplantation due to short gut syndrome. The patient had developed duodenal varices near her transplant anastomosis, which were incidentally biopsied on endoscopy causing resultant bleeding that required endoscopic hemostasis. This case highlights the need for recognition of duodenal varices as a potential etiology of gastrointestinal bleeding in children and describes band ligation as an effective hemostatic modality.

Keywords: endoscopy; upper GI tract; varices.

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Conflict of interest statement

Paul Tran is a consultant for EvoEndo, Inc which is unrelated to this manuscript. The other authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Initial endoscopy with mesalamine granules and polypoid masses in the area of duodenal anastomosis (duodenal varices).
Figure 2
Figure 2
Rapid formation of lumen‐filling clot after biopsy on initial endoscopy.
Figure 3
Figure 3
Following clot removal, duodenal varix visualized with prominent biopsy markings. Effective decompression with placement of a single band.
See this image and copyright information in PMC

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