Endoscopic ultrasound-guided treatment of bleeding duodenal varix.
نویسندگان
چکیده
A 35-year-old man presented with recurrence of upper gastrointestinal bleed after eradication of esophageal varices. Upper gastrointestinal endoscopy revealed submucosal lesion in the duodenum and endoscopic ultrasound (EUS) demonstrated it to be a duodenal varix. Cyanoacrylate glue was injected into the duodenal varix and successful obliteration of the duodenal varix was demonstrated on a follow up EUS.
منابع مشابه
Endoscopic Management of Acute Bleeding from an Ectopic Duodenal Varix.
Urgent upper gastrointestinal endoscopy was performed and documented a small esophageal varix without evidence of recent bleeding and, in the inferior wall of the second portion of the duodenum, a 20-mm elevated longitudinal lesion with a central hematinic depression, at that time misinterpreted as a subepithelial lesion with a visible vessel, and therefore, an endoclip was placed ( Fig. 1 ). F...
متن کاملMassive duodenal variceal bleed: endoscopic ultrasonography of ruptured varix and successful endoscopic clipping treatment.
Duodenal varices are a rare cause of upper gastrointestinal (GI) bleeding [1–5] and endoscopic management is not standardized [1, 2]. We report the case of a 50-year-old woman with alcoholic cirrhosis who was referred for severe digestive tract bleeding with hematemesis and hemodynamic instability. After medical management, emergency endoscopy (GIF 190, 2.8-mm operating channel; Olympus, Tokyo,...
متن کاملMassive Gastrointestinal Bleeding from an Ectopic Varix in a Non-Cirrhotic Patient: Angiographic Approach Following Endoscopic Treatment Failure
http://dx.doi.org/10.1016/j.jpge.2015.10.006 2341-4545/© 2015 Sociedade Portuguesa de Gastrenterologia. Published CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4 emorrhagic shock, requiring substantial transfusion suport (10 units of erythrocyte concentrate, 4 units of resh frozen plasma, 1 platelet pool and 3 g of fibrinoen), renal and respiratory failure with the need of n...
متن کاملUsefulness of Endoscopic Ultrasound in Esophagogastric Varices
Endoscopic ultrasound (EUS) is a useful diagnostic tool for evaluation of esophagogastric varices and guidance of endoscopic therapy. EUS can visualize not only collateral veins around the esophagus but also perforating veins that connect esophageal varices with collateral veins. They are associated with high risk of bleeding and early recurrence after initial variceal eradication. Isolated gas...
متن کاملSuccessful endoscopic banding after cyanoacrylate failure for active bleeding duodenal varix.
which there is little agreement on the best therapeutic option (1-5). A 47-years-old male, with alcoholic liver cirrhosis (Child-Pugh class C; MELD 29) and previous oesophageal varices bleeding, was admitted for profuse hematochezia. He was tachycardic, hypotensive and had haemoglobin 2,7 g/dl. Fluid and blood resuscitation, intravenous octreotide, ciprofloxacin and PPI were promptly started. E...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology
دوره 30 6 شماره
صفحات -
تاریخ انتشار 2011