PT  - JOURNAL ARTICLE
AU  - Bhagani, Shradha
AU  - Winters, Conchubhair
AU  - Moreea, Sulleman
TI  - Duodenal variceal bleed: an unusual cause of upper gastrointestinal bleed and a difficult diagnosis to make
AID  - 10.1136/bcr-2016-218669
DP  - 2017 Feb 27
TA  - BMJ Case Reports
PG  - bcr2016218669
VI  - 2017
4099  - http://casereports.bmj.com/content/2017/bcr-2016-218669.short
4100  - http://casereports.bmj.com/content/2017/bcr-2016-218669.full
AB  - We present a case of recurrent upper gastrointestinal (GI) bleeding in a man aged 57 years with primary biliary cholangitis who was ultimately diagnosed with an isolated duodenal variceal bleed, which was successfully treated with histoacryl glue injection. Duodenal varices are an uncommon presentation of portal hypertension and can result in significant GI bleeding with a high mortality. Diagnosis can be difficult and therapeutic options limited. Endoscopic variceal sclerotherapy with histoacryl glue provides an effective treatment, though endoscopists need to remain aware of and vigilant for the serious complications of this treatment option.