Hamilton Lauren E, Carroll Joshua, Tran Paul
University of Arizona College of Medicine Phoenix Glendale Arizona USA.
Phoenix Children's Hospital Phoenix Arizona USA.
JPGN Rep. 2025 Mar 17;6(2):206-208. doi: 10.1002/jpr3.70017. eCollection 2025 May.
Ectopic varices are defined as portosystemic venous collaterals occurring in the gastrointestinal tract outside of the cardio-esophageal region. Duodenal varices are not routinely encountered by pediatric gastroenterologists. At the time of this case report, there are no consensus guidelines on the management of bleeding duodenal varices in pediatric patients. This is a case of a 14-year-old young woman with a history of multi-visceral transplantation due to short gut syndrome. The patient had developed duodenal varices near her transplant anastomosis, which were incidentally biopsied on endoscopy causing resultant bleeding that required endoscopic hemostasis. This case highlights the need for recognition of duodenal varices as a potential etiology of gastrointestinal bleeding in children and describes band ligation as an effective hemostatic modality.
异位静脉曲张被定义为发生在食管胃区域以外的胃肠道的门体静脉侧支循环。儿科胃肠病学家通常不会遇到十二指肠静脉曲张。在本病例报告之时，对于小儿患者出血性十二指肠静脉曲张的管理尚无共识性指南。这是一例14岁年轻女性，因短肠综合征有多次内脏移植史。该患者在移植吻合口附近出现十二指肠静脉曲张，在内镜检查时偶然进行活检导致出血，需要内镜止血。本病例强调了识别十二指肠静脉曲张作为儿童胃肠道出血潜在病因的必要性，并描述了套扎术作为一种有效的止血方式。
