Open AccessDuodenal variceal bleeding with large spontaneous portosystemic shunt treated with transjugular intrahepatic portosystemic shunt and embolization: A case report
Author(s) -
Rohit Anand,
Saad Emhmed Ali,
Driss Raissi,
Wesam Frandah
Publication year - 2019
Publication title -
world journal of radiology
Language(s) - English
Resource type - Journals
ISSN - 1949-8470
DOI - 10.4329/wjr.v11.i8.110
Subject(s) - medicine , transjugular intrahepatic portosystemic shunt , melena , portosystemic shunt , duodenum , duodenal bulb , varix , radiology , portal hypertension , embolization , varices , surgery , hepatology , cirrhosis
Duodenal variceal bleeding is a rare cause of gastrointestinal bleeding. The most common site is the duodenal bulb. It is usually detected endoscopically but it can be very challenging to diagnose if it is located distal to the second part od duodenum. The pre- transjugular intrahepatic portosystemic shunt (TIPS) presence of spontaneous portosystemic shunt (SPSS) was found to be associated with an increased risk of early morbidity and mortality after TIPS placement.