TITLE

Fatal Ruptured Duodenal Varix: A Case Report and Review of Literature

AUTHOR(S)
Amin, Rajnikant; Alexis, Richard; Korzis, John
PUB. DATE
January 1985
SOURCE
American Journal of Gastroenterology;Jan1985, Vol. 80 Issue 1, p13
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The incidence of bleeding duodenal varices is exceedingly rare. We report a case of a 35-year-old chronic alcoholic who died of severe fatal upper gastrointestinal bleeding from a ruptured duodenal varix located in the second portion of duodenum. This diagnosis was suspected at endoscopy and was confirmed at autopsy. A review of literature shows 20 case reports of bleeding duodenal varices with two fatalities. While the duodenal bulb is the most common site of varices, the second portion of duodenum appears to be the next most common site. From all of the possible causes of duodenal varix, chronic liver diseases, mainly cirrhosis, remains the predominant etiological factor accounting for 30.7% of reported cases.
ACCESSION #
16266045

 

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