title: A Case of Isolated Duodenal Varices Secondary to Chronic Pancreatitis with Review of Literature.
abstract: An unusual case of upper gastrointestinal hemorrhage due to an isolated varix involving the 2nd part of the duodenum is presented here. The varix was the result of Chronic Pancreatitis induced the superior mesenteric vein obstruction. The diagnosis was made preoperatively by upper gastrointestinal endoscopy and selective mesenteric angiogram. Patient was treated successfully with Mesocaval shunt surgery between the superior mesenteric vein and the inferior vena cava using a 10 mm Dacron graft. This is the unique case showing hemorrhagic complication of Chronic Pancreatitis due to the superior mesenteric vein obstruction.
authors.affiliation: St. Vincent Mercy Medical Center, Toledo, Ohio, 2213 Cherry Street, Toledo, Ohio 43608, USA.
authors.forename: Venugopala
authors.initials: V
authors.lastname: Bommana
authors.affiliation: St. Vincent Charity Hospital, Cleveland, Ohio, 2351 East 22nd Street, Cleveland, OH 44115, USA.
authors.forename: Prasun
authors.initials: P
authors.lastname: Shah
authors.affiliation: St. Vincent Mercy Medical Center, Toledo, Ohio, 2213 Cherry Street, Toledo, Ohio 43608, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Kometa
authors.affiliation: St. Vincent Mercy Medical Center, Toledo, Ohio, 2213 Cherry Street, Toledo, Ohio 43608, USA.
authors.forename: Rawan
authors.initials: R
authors.lastname: Narwal
authors.affiliation: St. Vincent Mercy Medical Center, Toledo, Ohio, 2213 Cherry Street, Toledo, Ohio 43608, USA.
authors.forename: Prashant
authors.initials: P
authors.lastname: Sharma
keywords: Hemetemesis; Hemorrhagic complications of pancreatitis; Isolated duodenal varices; Superior mesenteric vein obstruction