Yeh Y Y, Hou M C, Lin H C, Chang F Y, Lee S D
Department of Internal Medicine, Veterans General Hospital-Taipei, Taiwan.
J Gastroenterol Hepatol. 1998 Jun;13(6):591-3. doi: 10.1111/j.1440-1746.1998.tb00695.x.
The occurrence of duodenal varices is rare and experience in the control of haemorrhage from duodenal varices is limited. A 69-year-old man with hepatocellular carcinoma presenting with upper gastrointestinal bleeding is reported. Emergency upper gastrointestinal endoscopy indicated one varix 1.5 cm in diameter with white nipple sign at the anterior 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 weeks later.
十二指肠静脉曲张的发生较为罕见，控制十二指肠静脉曲张出血的经验有限。本文报道了一名69岁肝细胞癌患者出现上消化道出血的病例。急诊上消化道内镜检查显示十二指肠球部前壁有一个直径1.5 cm的静脉曲张，伴有白色乳头征。内镜超声检查确诊为十二指肠静脉曲张。该患者接受了内镜下结扎治疗，3周后的随访内镜检查显示十二指肠静脉曲张完全消除。
