Thrombin injection for bleeding duodenal varices.
Bleeding from duodenal varices, although rare, is often massive and life threatening. Duodenal varices are more common in extrahepatic portal venous obstruction. We report a patient with recurrent bleeding from duodenal varices, secondary to thrombosed portal vein, splenic vein, and mesocaval shunt, who was successfully managed by injection of thrombin.
Rai
R
R
Division of Gastroenterology, Johns Hopkins University Hospital, Baltimore, Maryland.
Panzer
S W
SW
Miskovsky
E
E
Thuluvath
P J
PJ
D004386:Duodenum / Q000098:blood supply*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007267:Injections; D008875:Middle Aged; D011169:Portal Vein; D011170:Portasystemic Shunt, Surgical / Q000009:adverse effects; D012008:Recurrence; D013162:Splenic Vein; D013917:Thrombin / Q000008:administration & dosage*; D013927:Thrombosis / Q000150:complications; D014648:Varicose Veins / Q000628:therapy*
D013917:Thrombin