An Unusual Case of Isolated Duodenal Varices With Superior Mesenteric Vein Thrombosis.

Autor:	Alsabban AM; Digestive and Liver Center (DLC), King Abdullah Medical City, Makkah, SAU., Almatrafi MJ; Gastroenterology, King Abdullah Medical City, Makkah, SAU., Malik ZM; Digestive and Liver Center (DLC) and Advanced Endoscopy Center, King Abdullah Medical City, Makkah, SAU., Khiji IY; Digestive and Liver Center (DLC), King Abdullah Medical City, Makkah, SAU., Shariff MK; Digestive and Liver Center (DLC), King Abdullah Medical City, Makkah, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Aug 20; Vol. 15 (8), pp. e43783. Date of Electronic Publication: 2023 Aug 20 (Print Publication: 2023).
DOI:	10.7759/cureus.43783
Abstrakt:	Duodenal varices usually occur due to portal hypertension and are rare causes of gastrointestinal tract bleeding. We report a unique case of a previously fit patient who presented with melena and was found to have isolated duodenal varices (DV) in the third part on esophagogastroduodenoscopy. No esophageal or gastric varices were noticed. The duodenal varices were successfully managed by endoscopic banding. A computerized tomography scan of the abdomen to further investigate the cause confirmed duodenal varices and revealed superior mesenteric vein thrombosis. The liver was normal with patent hepatic and portal veins. No evidence of thrombophilia was found. Apixaban was prescribed for superior mesenteric vein thrombosis and on follow-up. no further bleeding was reported. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Alsabban et al.)
Databáze:	MEDLINE
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