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Long-term Successful Treatment of Massive Distal Duodenal Variceal Bleeding with Balloon-occluded Retrograde Transvenous Obliteration
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Ȳ¼ø¿ì(Hwang Soon-Woo) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ±¸¸®º´¿ø ³»°úÇб³½Ç
¼ÕÁÖÇö(Sohn Joo-Hyun) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ±¸¸®º´¿ø ³»°úÇб³½Ç
±èÅ¿±(Kim Tae-Yeob) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ±¸¸®º´¿ø ³»°úÇб³½Ç
±èÁö¿¬(Kim Ji-Yeoun) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ±¸¸®º´¿ø ³»°úÇб³½Ç
ÀÌÁö¿µ(Lee Ji-Young) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ±¸¸®º´¿ø ³»°úÇб³½Ç
°ûµ¿½Å(Kwak Dong-Shin) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ±¸¸®º´¿ø ³»°úÇб³½Ç
±èÇؼö(Kim Hae-Su) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ±¸¸®º´¿ø ³»°úÇб³½Ç
¼Û¼ø¿µ(Song Soon-Young) - ÇѾç´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ïº´¿ø ¿µ»óÀÇÇб³½Ç
Abstract
Duodenal variceal bleeding in patients with portal hypertension due to cirrhosis or other causes is uncommon. We report on a case of a 55-year-old male with an ectopic variceal rupture at the distal fourth part of the duodenum who presented with massive hematochezia and shock. Shortly after achievement of hemodynamic stability, due to the limitation of an endoscopic procedure, we initially attempted to find the bleeding focus by abdominal computed tomography, which showed tortuous duodenal varices that drained into the left gonadal vein. He was treated with first-line balloon-occluded retrograde transvenous obliteration (BRTO), resulting in a favorable long-term outcome without rebleeding three years later. This case suggests that BRTO may be a first-line therapeutic option for control of ruptured duodenal varices, especially at a distal location.
Å°¿öµå
Bleeding, duodenal, Varix, ectopic, Cirrhosis, Treatment, Balloon occlusion
KMID :
0614620140630040248
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