The Japanese journal of surgery

, Volume 18, Issue 5, pp 595–600

A case of ruptured duodenal varices and review of the literature

  • Takaya Tanaka
  • Kenichi Kato
  • Tomoyuki Taniguchi
  • Daisuke Takagi
  • Naoshi Takeyama
  • Yasuhide Kitazawa
Case Reports

DOI: 10.1007/BF02471496

Cite this article as:
Tanaka, T., Kato, K., Taniguchi, T. et al. The Japanese Journal of Surgery (1988) 18: 595. doi:10.1007/BF02471496

Abstract

The incidence of duodenal varices is exceedingly rare. A case of bleeding duodenal varices located in the third portion of the duodenum, secondary to idiopathic portal hypertension, which was successfully treated by surgery, is presented herein. Diagnosis was suspected at superior mesenteric angiography and was subsequently confirmed by endoscopy. A review of the literature reveals only 105 such cases in the world. While the duodenal bulb is the most common site of duodenal varices, the second portion of the duodenum appears to be the next most common site but duodenal varices in the other portions are extremely rare. From all of the possible causes of duodenal varices, liver cirrhosis remains the predominant etiological factor in 31 cases.

Key Words

upper gastrointestinal bleedingduodenal varices

Copyright information

© The Japan Surgical Society 1988

Authors and Affiliations

  • Takaya Tanaka
    • 1
  • Kenichi Kato
    • 1
  • Tomoyuki Taniguchi
    • 1
  • Daisuke Takagi
    • 1
  • Naoshi Takeyama
    • 1
  • Yasuhide Kitazawa
    • 1
  1. 1.The Emergency Care UnitKansai Medical University, MoriguchiOsakaJapan