A Case of Isolated Duodenal Varices Secondary to Chronic Pancreatitis with Review of Literature

Venugopala Bommana, Prasun Shah, Michael Kometa, Rawan Narwal, Prashant Sharma

Abstract


An unusual case of upper gastrointestinal hemorrhage due to an isolated varix involving the 2nd part of the duodenum is presented here. The varix was the result of Chronic Pancreatitis induced the superior mesenteric vein obstruction. The diagnosis was made preoperatively by upper gastrointestinal endoscopy and selective mesenteric angiogram. Patient was treated successfully with Mesocaval shunt surgery between the superior mesenteric vein and the inferior vena cava using a 10 mm Dacron graft. This is the unique case showing hemorrhagic complication of Chronic Pancreatitis due to the superior mesenteric vein obstruction.




doi:10.4021/gr249w


Keywords


Isolated duodenal varices; Hemorrhagic complications of pancreatitis; Hemetemesis; Superior mesenteric vein obstruction

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