We experienced a case of duodenal varices. A 62-year-old male with liver cirrhosis who was hospitalized for melena. Gastrointestinal endoscopy showed nodular varices with red plug in the descending portion of the duodenum. We considered that this case was rupture of duodenal varices.
We performed endoscopic injection sclerotherapy (EIS) with 1% polidocanol 9ml and thrombin (50U/ml) 2ml to duodenal varices. Duodenal varices of this case was thought to be caused by portal hypertension due to liver cirrhosis and adhesion in upper abdomen due to operation of cholecystectomy. Therefore it is necessary to observe the descending portion of the duodenum, in the case of portal hypertension with post EIS of esophageal varices or post operation of abdomen.
