Kawakami Yutaka, Takahashi Hirokazu, Kato Shingo, Uchiyama Takashi, Mawatari Hironori, Iida Hiroshi, Inamori Masahiko, Abe Yasunobu, Nakajima Atsushi
Yokohama City University School of Medicine, Yokohama, Japan.
Hepatogastroenterology. 2011 Nov-Dec;58(112):2024-5. doi: 10.5754/hge09470.
Duodenal variceal rupture is rare, and there is little agreement on the best therapeutic option. A 72-year old man treated for liver cirrhosis with HCV visited the emergency room complaining of dizziness and tarry stool. Fiberscope images showed varices (F2CbRC+) with white plaques at the horizontal region of the duodenum. The patient was treated using endoscopic variceal ligation (EVL), and no more bleeding has been detected.
十二指肠静脉曲张破裂很少见，对于最佳治疗方案也几乎没有共识。一名72岁因丙型肝炎肝硬化接受治疗的男性因头晕和柏油样便前往急诊室就诊。纤维内镜图像显示十二指肠水平部有静脉曲张（F2CbRC+）并伴有白色斑块。该患者接受了内镜下静脉曲张结扎术（EVL）治疗，未再检测到出血。
