An unusual cause of upper gastrointestinal system bleeding: Duodenal varices

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An unusual cause of upper gastrointestinal bleeding

Question A 48-year-old man presented to our emergency department with hematemesis and abdominal pain. He was a former heroin addict and had been well until 8 months earlier, when he had epigastric and periumbilical pain, anorexia, 12 kg weight loss and lower back pain. On Examination, his oral temperature was 36.8 ̇C, his pulse was regular with a rate of 92 bpm and blood pressure was 160/95 mmhg...

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Downhill varices: an uncommon cause of upper gastrointestinal bleeding.

BACKGROUND Upper gastrointestinal bleeding (UGIB) is a common condition in gastroenterology, but "Downhill Varices" (DHV) or varices of the upper oesophagus are an uncommon cause of UGIB, with different aetiology from lower third oesophageal varices and different therapeutic implications. CASE REPORT A 28-year-old male patient, with a history of chronic kidney failure secondary undergoing hae...

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An Unusual Cause of Gastrointestinal Bleeding: Duodenal Lipoma

Common causes of chronic upper gastrointestinal bleeding include oesophageal varices, gastroduodenal ulcers and malignancy, and patients mostly present with iron deficiency type anaemia. We present the case of a 60-year-old lady who presented with iron deficiency anaemia and on investigation was found to have a large duodenal polyp requiring surgical excision. On histological examination, the p...

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Distal Duodenal Varices: First Presentation of Upper Gastrointestinal Bleeding.

Varices are abnormal dilated veins which result from increased pressure in the portal circulation. Although the oesophagus and stomach are the most common sites for varices to develop, they may also occur as ectopic varices in the duodenum, rectum, and retroperitoneal areas. Isolated duodenal varices involving distal duodenum, particularly the fourth part of the duodenum, are extremely rare. Ho...

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ژورنال

عنوان ژورنال: Cumhuriyet Medical Journal

سال: 2012

ISSN: 1305-0028

DOI: 10.7197/1305-0028.1058