[Duodenal varix rupture a rare cause of gastrointestinal bleeding from portal hypertension].
The duodenal varix rupture is a rare and serious complication of portal hypertension. The authors report one case of duodenal varix rupture in a 38 year old woman, revealing portal hypertension, which caused a massive gastro-intestinal bleeding. The endoscopy didn't allow to conclude to a diagnosis. An emergent laparotomy was necessary regarding the massive bleeding. A duodenal varix suture ligation was performed after pyloroduodenotomy. She had a well recovery. After a review of literature, the authors conclude that this abnormal situation is rare, its diagnostic is difficult and it has several therapeutic strategies.
Ben Moussa
Mounir
M
Service Chirurgie A, Hôpital Charles Nicolle, Tunis.
Othmani
Moufida
M
Krichen
Ahmed
A
Belhadj
Salah Riadh
SR
Trabelsi
Omar
O
Zaouche
Abdeljélil
A
D000328:Adult; D004386:Duodenum / Q000098:blood supply*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D012422:Rupture, Spontaneous; D014648:Varicose Veins / Q000150:complications*