1983 Volume 25 Issue 8 Pages 1259-1267
We recently experienced two cases of duodenal varices. A 45-year-old woman who had undergone cholecystectomy and gastrectomy was admitted to the hospital with melena. X-ray examination of upper gastrointestinal series revealed filling defects in the descending part of the duodenum. Endoscopically, large dilated, bluish varices were noted in the second portion of the duodenum. Dilated tortuous veins of the right colon were demonstrated by angiography. The another patient was a 35-year-old woman, who had a history of chronic pancreatitis and chronic cholecystitis. X-ray findings and endoscopic findings had revealed varices in the second portion of the duodenum. Percutaneus transhepatic portogram showed no occulusion of portal vein, but demonstrated esophagogastric varices, duodenal varices and accessory portal vein. These two cases were diagnosed noncirrhotic portal hypertension with duodenal varices by the other examinations. 67 cases have been reported since Alberti described about duodenal varices for the first time in 1931, but this is the first report in Japan.
