Isolated duodenal bulb varices in retroperitoneal fibrosis

Cavallo, Giovanni; Viscardi, Andrea; DePalma, Gail; Longo, S.; Percopo, V; DeLutio, E.

doi:10.1016/s0016-5107(85)72268-7

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Accurate diagnosis requires a high index of suspicion and careful endoscopy. These varices occur most commonly in the second and third portions of the duodenum [59,60]. Usually, the afferent vessel of the duodenal varix is the superior or inferior pancreaticoduodenal vein originating in the portal vein trunk or superior mesenteric vein.…”

Section: Duodenal Varicesmentioning

confidence: 99%

Extraesophageal Varices

Kotfila¹,

Trudeau²

1998

Dig Dis

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Esophageal varices are the most common site of variceal bleeding. However, bleeding from varices that are not located in the esophagus may account for up to 30% of all variceal bleeding. Significant varices can occur in the stomach, duodenum, jejunum, ileum, colon, rectum, and biliary tree. They can also occur at the site of a surgical ostomy. These types of varices bleed less commonly than esophageal varices, but they can also be far more difficult to diagnose and treat. The absence of stigmata of recent esophageal variceal bleeding and certain clues in the patient’s history and clinical presentation should raise the clinician’s suspicion of an extraesophageal site of variceal bleeding. Particularly, patients with extrahepatic causes of portal hypertension, cirrhotic patients with a prior history of gastrointestinal surgery, and patients who present with profound bleeding but without hematemesis need to be evaluated further if an obvious site of esophageal variceal bleeding is not seen on initial endoscopy. In this article, we review the features particular to extraesophageal varices as well as the diagnosis and management of bleeding from these varices. We use the term extraesophageal rather than ectopic because the term ectopic varices implies exclusion of both esophageal and gastric varices.

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Section: Duodenal Varicesmentioning

confidence: 99%

Extraesophageal Varices

Kotfila¹,

Trudeau²

1998

Dig Dis

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“…Five weeks later, a second operation was attempted , and splenorenal shunt and splenectomy were performed becau se the fibrotic tissues were far less extensive on the left side . There were four other similar reports (three of esophageal varices and one of duodenal varices), but all were of adult patients (10)(11)(12)(13).…”

Section: Discussionmentioning

confidence: 87%

“…Patients with RPF may infrequently have the complication of portal hypertension caused by compre ssion of the portal venous system by thick fibrous tissue (9)(10)(11)(12)(13). Eiseman and Yeoh (9) in 1962 reported on a 13-year-old boy who developed repeated hematemesis and had splenomegaly and esophageal varices , but no evidence of cirrhosis was found .…”

Section: Discussionmentioning

confidence: 99%

“…It exerts serious complication through the compression of various abdominal tubular structures including ureters, great vessels, common bile.ducts, and the portal vein. Of these, portal hypertension is a rare complication (9)(10)(11)(12)(13). We report a 15-year-old girl with idiopathic RPF, who presented with portal hypertension as the initial manifestation; there was coexisting obstructive uropathy.…”

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confidence: 96%

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Portal Hypertension in a Child with Retroperitoneal Fibrosis

Chou,

Chang,

Lee

et al. 1992

J. pediatr. gastroenterol. nutr.

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Duodenal varicose veins

Linder

Wiechel

1991

Surg Endosc

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Duodenal varices (DV) are rare. We present a review of published cases with emphasis on the management and outcome, as illustrated by our own cases, which reflects the experience reported in the literature. The diagnosis of DV must be considered in patients with gastrointestinal bleeding. Two-thirds of all reported cases have portal venous hypertension caused by hepatic cirrhosis. In the remaining one-third prehepatic portal hypertension as a consequence of either a compromised portal venous circulation (caused by perivenous tumor or inflammation) or a primary haematological disease is the underlying cause. Previously, duodenoscopy has often failed to detect and correctly interpret DV, and was similarly unsuccessful in our case. This case report demonstrates the problems and shortcomings in the management of DV and documents a hither to unreported cause. Treatment depends on the severity of bleeding. When conservative measures cannot control the haemorrhage, emergency laparotomy may be indicated. The type of surgery should be chosen according to the aetiology, site and extent of the bleeding DV. Among 112 reported cases of DV, information on outcome exists for only 35 patients who presented with haemorrhage. The aetiology was liver cirrhosis in 26 of these patients, 10 of whom had a fatal outcome, and prehepatic portal hypertension in the remaining 9, 1 of whom had a fatal outcome.

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Isolated duodenal bulb varices in retroperitoneal fibrosis

Cited by 4 publications

References 11 publications

Extraesophageal Varices

Extraesophageal Varices

Portal Hypertension in a Child with Retroperitoneal Fibrosis

Duodenal varicose veins

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