CASE-REPORT - SUCCESSFUL OBLITERATION OF A BLEEDING DUODENAL VARIX USING ENDOSCOPIC LIGATION

The occurrence of duodenal varices is rare and experience in the contr ol of haemorrhage from duodenal varices is limited. A 69-year-old man with hepatocellular carcinoma presenting with upper gastrointestinal b leeding is reported. Emergency upper gastrointestinal endoscopy indica ted one varix 1.5 cm in diameter with white nipple sign at the anterio r wall of the duodenal bulb. Endosonography confirmed the diagnosis of duodenal varix. The patient was treated with endoscopic ligation and follow-up endoscopy showed complete eradication of duodenal varix 3 we eks later.