TWO CASES OF DUODENAL VARICEAL BLEEDING

Abstract

We report two patients with duodenal variceal bleeding. A 57-year-old woman （Case 1） was referred to our hospital by a nearby clinic with the chief complaints of vomiting and black stools. Her medical history was unremarkable. Upper gastrointestinal endoscopy showed F3 venous varices in the descending part of the duodenum；thus, balloon-occluded retrograde transvenous obliteration was performed. A 54-year-old man （Case 2） presented with a history of type C liver cirrhosis, esophageal varices, and hepatocellular carcinoma. He visited our hospital with the chief complaints of black stools and hematemesis. Upper gastrointestinal endoscopy showed F3 venous varices with projectile bleeding in the horizontal part of the duodenum. A mixture of Histoacryl and lipiodol was injected to achieve hemostasis. Both patients did not show rebleeding.