Duodenal varice

Itzch, Y., Glickman, M.G. Duodenal varices in extrahepatic portal obstruction. Radiology 1977 124 619 —624... 

Duodenal varices are rare. Consequently, their frequency is poorly documented. They are present predominantly in patients with prehepatic portal hypertension. Possible therapy options include banding and medication (terli-pressin, octreotide, later on P-blockers, etc.) or placement of a TIPS (provided there is no portal thrombosis). (63, 117)... 

Fig.8.3a-c. Balloon-occluded retrograde transvenous obliteration for duodenal varices, a A varicogram obtained by-injection of sclerosant through a microcatheter advanced into the pancreaticoduodenal vein shows duodenal varices (arrowheads). A balloon catheter is inserted into the right ovarian vein (flrrow).b A contrast-enhanced CT obtained before BRTO shows duodenal varices (arrow), c A contrast-enhanced CT obtained 7 days after B-RTO shows thrombosis of the duodenal varices... 

Sonomura T, Horihata K et al. (2002) Ruptured duodenal varices successfully treated with balloon-occluded retrograde transvenous obliteration. AJR Am J Roentgenol 181 725-727... 

Cirrhosis, alcoholic hepatitis, pancreatitis, gastric or duodenal ulcer, esophageal varices, middle-age onset of diabetes, gastrointestinal cancer, hypertension, peripheral neuropathies, myopathies, cardiomyopathy, cerebral vascular accidents, erectile dysfunction, vitamin deficiencies, pernicious anemia, and brain disorders including Wemicke-Korsakoff syndrome (mortality rate of untreated Wernicke is 50% treatment is with thiamine)... 

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