Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
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Case Report

Volume 3, Number 6, December 2010, pages 281-286

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


Figure 1.
Figure 1. Liver Biopsy showing normal architecture
Figure 2.
Figure 2. Duodenal varix in EGD
Figure 3.
Figure 3. Venous phase of the superior mesenteric artery injection showing varices in the region of the duodenum


Table 1. Etiology of Duodenal varices in world Literatures
Cirrhosis of Liver [1, 4-6]
Thrombotic disorders and Coagulopathies [4]
Schistosomiasis [7]
Pancreatitis and Cholangitis [3, 8]
Omphalophlebitis (surgical catheterization of Umbilicus in adults) [8-10]
Pancreatic and periportal tumors [8]
Mesenteric Metastasis [4, 11]
Surgical Procedure or Trauma [4, 11]
Visceral Hemangiomata (Klippel-Trenaunay-Weber syndrome) [12-16]
Vascular Anomalies (Occlusion of SMV by abnormal Ileocecal Artery) [12-16]
Retroperitoneal Fibrosis [8]


Table 2. Review of Cases of Duodenal Varices [23]
Part of DuodenumDuodenal Bulb48
2nd portion12
3rd portion3
4th portion1
DuodenoJejunal Junction3
Not Specified38
Associated VaricesEsophagus25
Esophagus and Stomach2
Esophagus, Stomach and Jejunum1
Not recognized5
Not Specified72