title: Ruptured duodenal varices: an autopsy case report.
abstract: Bleeding from duodenal varices is a rare and life-threatening complication of cirrhosis. The diagnosis and management of this disease remains problematic. We herein report an autopsy case of a patient who suffered from recurrent bleeding from duodenal varices. A 48 year-old man with cirrhosis presented with upper gastrointestinal bleeding. He had three episodes of massive melena during the 6 months prior to admission. However, the source of bleeding was not known. Emergent endoscopy revealed jet bleeding from varices in the second to third portion of the duodenum. Endoscopic ethanol injection sclerotherapy was attempted but rebleeding occurred and the patient died.
authors.affiliation: Second Department of Internal Medicine, Faculty of Medicine, Kyushu University, Fukuoka, Japan. mamor@intmed2.med.kyushu-u.ac.jp
authors.forename: M
authors.initials: M
authors.lastname: Hashiguchi
authors.forename: H
authors.initials: H
authors.lastname: Tsuji
authors.forename: J
authors.initials: J
authors.lastname: Shimono
authors.forename: K
authors.initials: K
authors.lastname: Azuma
authors.forename: M
authors.initials: M
authors.lastname: Fujishima
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000473:pathology; D003937:Diagnosis, Differential; D004384:Duodenoscopy; D004386:Duodenum / Q000098:blood supply* / Q000473:pathology; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000473:pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014648:Varicose Veins / Q000473:pathology*