Korean Journal of Gastrointestinal Endoscopy 1998;18(2): 244-248.
증례 : 식도 위장관 ; 특발성 문맥압 항진증에 동반된 십이지장 정맥류 출혈 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Bleeding Duodenal Varices in a Patient with Idiopathic Portal Hypertension )
송승찬, 손동현, 문광호, 노우균, 문희식, 한동수, 손주현, 전용철, 이오영, 윤병철, 최호순, 함준수, 이민호, 기춘석, 박경남 (Seung Chan Song, Dong Hyun Sohn, Gwang Ho Mun, Woo Kyoon Rho, Hee Sig Mun, Dong Soo Han, Joo Hyun Sohn, Yong Chul Jun, Oh Young Lee, Byung Chul Yoon, Ho Soon Choi, Joon Soo Hahm, Min Ho Lee, Choon Suhk Kee and Kyung Nam Park)
Abstract
Bleeding duodenal varices are a rare complication in patients with portal hypertension. Cirrhosis followed by portal vein obstruction and splenic vein obstruction are the most common causes. Although the prognosis of bleeding duodenal varices is usually poor, an awareness of its characteristic presentation may enable diagnostic and therapeutic proce- dures to be performed rapidly with an increased likelihood of a reaching successful out- come. In this study, we report a case of bleeding duodenal varices in a 23-year-old woman with idiopathic portal hypertension who was also suffering with recurrent melena. Panendoscopy identified prominant tortuous varices with central erosion in the 3rd portion of the duodenum and no esophageal and gastric varices. The varices were successfully treated by distal splenorenal shunt. (Korean J Gastrointest Endosc 18: 244-248, 1998)
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