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Peripapillary duodenal varices as a rare cause of severe bleeding in a patient with no other signs of portal hypertension--successful endoscopic treatment with cyanoacrylate injection.
Z Gastroenterol. 2011 May; 49(5):591-5.ZG

Abstract

Duodenal varices (DVs) are a rare cause of upper gastrointestinal bleeding and rather suspected in patients with portal hypertension. Bleeding DVs are difficult to manage and often fatal due to delayed diagnosis. We report on a 71-year-old patient with massive upper gastrointestinal haemorrhage, who did not show any clinical signs of portal hypertension; however, he had a history of duodenal segmental resection 8 years before. The source of bleeding could not be detected with different imaging methods such as angiography and computed tomography. Upper gastrointestinal endoscopy finally revealed DVs, which were located just adjacent to the papilla. After endoscopic injection therapy with n-butyl 2-cyanoacrylate the bleeding stopped immediately and the patient soon stabilised. Despite the peripapillar localisation no signs of pancreatitis or cholestasis occurred; during 10-month follow-up a marked regression of the varices without further signs of variceal bleeding was observed.

Authors+Show Affiliations

Department of Gastroenterology, Hepatology and Endocrinology, Medical School Hannover. tobias.weismueller@gmx.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21557169

Citation

Weismüller, T J., et al. "Peripapillary Duodenal Varices as a Rare Cause of Severe Bleeding in a Patient With No Other Signs of Portal Hypertension--successful Endoscopic Treatment With Cyanoacrylate Injection." Zeitschrift Fur Gastroenterologie, vol. 49, no. 5, 2011, pp. 591-5.
Weismüller TJ, Schweitzer N, Boozari B, et al. Peripapillary duodenal varices as a rare cause of severe bleeding in a patient with no other signs of portal hypertension--successful endoscopic treatment with cyanoacrylate injection. Z Gastroenterol. 2011;49(5):591-5.
Weismüller, T. J., Schweitzer, N., Boozari, B., Negm, A., Bürger, D., Manns, M. P., Wedemeyer, J., & Kubicka, S. (2011). Peripapillary duodenal varices as a rare cause of severe bleeding in a patient with no other signs of portal hypertension--successful endoscopic treatment with cyanoacrylate injection. Zeitschrift Fur Gastroenterologie, 49(5), 591-5. https://doi.org/10.1055/s-0029-1245726
Weismüller TJ, et al. Peripapillary Duodenal Varices as a Rare Cause of Severe Bleeding in a Patient With No Other Signs of Portal Hypertension--successful Endoscopic Treatment With Cyanoacrylate Injection. Z Gastroenterol. 2011;49(5):591-5. PubMed PMID: 21557169.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Peripapillary duodenal varices as a rare cause of severe bleeding in a patient with no other signs of portal hypertension--successful endoscopic treatment with cyanoacrylate injection. AU - Weismüller,T J, AU - Schweitzer,N, AU - Boozari,B, AU - Negm,A, AU - Bürger,D, AU - Manns,M P, AU - Wedemeyer,J, AU - Kubicka,S, Y1 - 2011/05/09/ PY - 2011/5/11/entrez PY - 2011/5/11/pubmed PY - 2011/10/1/medline SP - 591 EP - 5 JF - Zeitschrift fur Gastroenterologie JO - Z Gastroenterol VL - 49 IS - 5 N2 - Duodenal varices (DVs) are a rare cause of upper gastrointestinal bleeding and rather suspected in patients with portal hypertension. Bleeding DVs are difficult to manage and often fatal due to delayed diagnosis. We report on a 71-year-old patient with massive upper gastrointestinal haemorrhage, who did not show any clinical signs of portal hypertension; however, he had a history of duodenal segmental resection 8 years before. The source of bleeding could not be detected with different imaging methods such as angiography and computed tomography. Upper gastrointestinal endoscopy finally revealed DVs, which were located just adjacent to the papilla. After endoscopic injection therapy with n-butyl 2-cyanoacrylate the bleeding stopped immediately and the patient soon stabilised. Despite the peripapillar localisation no signs of pancreatitis or cholestasis occurred; during 10-month follow-up a marked regression of the varices without further signs of variceal bleeding was observed. SN - 1439-7803 UR - https://www.unboundmedicine.com/medline/citation/21557169/Peripapillary_duodenal_varices_as_a_rare_cause_of_severe_bleeding_in_a_patient_with_no_other_signs_of_portal_hypertension__successful_endoscopic_treatment_with_cyanoacrylate_injection_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0029-1245726 DB - PRIME DP - Unbound Medicine ER -