A Case Report on Duodenal Variceal Bleeding Treated with Glue Injection
- 1 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 2 University of Health Sciences, Phnom Penh, Cambodia
- 3 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 4 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 5 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 6 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 7 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 8 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 9 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 10 University of Health Sciences, Phnom Penh, Cambodia
- 11 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 12 Khmer Soviet Friendship Hospital, Phnom Penh, Cambodia
- 13 University of Health Sciences, Phnom Penh, Cambodia
- 14 University of Health Sciences, Phnom Penh, Cambodia
Abstract
Introduction: We present a case of upper gastrointestinal bleeding in a woman aged 56 years with liver cirrhosis who was diagnosed with isolated duodenal variceal bleeding, which was successfully treated with histoacryl injection. Case Presentation: A 57-year female cirrhotic patient presented with melena. She had been diagnosed with duodenal variceal bleeding and treated successfully with 2.4 ml histoacryl using a normal gastroscope. The patient subsequently remained stable and free of any further GI bleeding. She was discharged 48 hours later. Her hemoglobin remained stable at 9 g/L. Conclusion: The histoacryl glue injection provides an effective treatment. Hence, this should ideally be performed by an experienced endoscopist who is aware of and vigilant for the serious complications of this treatment option.
- Liu, M., Li, W., Li, P., Ma, F. and Xue, H. (2020) Ectopic Duodenal Variceal Bleed Successfully Treated with TIPS and 2 Years Follow-Up: A Case Report. Radiology Case Reports, 15, 1570-1574. https://doi.org/10.1016/j.radcr.2020.04.044
- Alberti, W. (1931) Uberden roentgenologischen nachweis von varizen in buolbus duodeni. Fortschro Geb Koentgenstr, 43, 60-65.
- Anand, R., Ali, S.E., Raissi, D. and Frandah, W.M. (2019) Duodenal Variceal Bleeding with Large Spontaneous Portosystemic Shunt Treated with Transjugular Intrahepatic Portosystemic Shunt and Embolization: A Case Report. World Journal of Radiology, 11, 110-115. https://doi.org/10.4329/wjr.v11.i8.110
- Wan, Y.P., et al. (2021) Effectiveness and Safety of Endoscopic Treatment for Duodenal Variceal Bleeding: A Systematic Review. European Journal of Gastroenterology & Hepatology, 33, 461-469. https://doi.org/10.1097/MEG.0000000000001819
- Jonnalagadda, S.S., Quiason, S. and Smith, O.J. (1998) Successful Therapy of Bleeding Duodenal Varices by TIPS after Failure of Sclerotherapy. American Journal of Gastroenterology, 93, 272-274. https://doi.org/10.1111/j.1572-0241.1998.270_3.x
- Sans, M., et al. (1996) Thrombin and Ethanolamine Injection Therapy in Arresting Uncontrolled Bleeding from Duodenal Varices. Endoscopy, 28, 403. https://doi.org/10.1055/s-2007-1005495
- Sato, T. (2015) Treatment of Ectopic Varices with Portal Hypertension. World Journal of Hepatology, 7, 1601-1605. https://doi.org/10.4254/wjh.v7.i12.1601
- Watanabe, N., et al. (2010) Current Status of Ectopic Varices in Japan: Results of a Survey by the Japan Society for Portal Hypertension. Hepatology Research, 40, 763-776. https://doi.org/10.1111/j.1872-034X.2010.00690.x
- Liu, Y., et al. (2009) Clinical Characteristics and Endoscopic Treatment with Cyanoacrylate Injection in Patients with Duodenal Varices. Scandinavian Journal of Gastroenterology, 44, 1012-1016. https://doi.org/10.1080/00365520903030787
- Takamatsu, T., Ootake, H., Uehara, T., Shindou, Y., Ikeya, T., Toukai, K., et al. (2011) A Case of Ruptured Duodenal Varices Treated Successfully by Endoscopic Injection Sclerotherapy under Radiographic Guidance with a Mixture of N-butyl-2-cyanoacry-late-lipiodol. Jichi Medical University Journal J, 34, 87-95.
- Park, S.B., et al. (2013.) Successful Treatment of Duodenal Variceal Bleeding by Endoscopic Clipping. Clinical Endoscopy, 46, 403-406. https://doi.org/10.5946/ce.2013.46.4.403