An obscure cause of gastrointestinal bleeding : recurrent duodenal variceal hemorrhage treated with intramuscular octreotide in the absence of portal hypertension

Robert S. O'Neill; William J. Wang; Patrick Chan; Vincent Ho; Christine Verdon; Ian Turner; Priya Acharya

doi:10.1002/jgh3.12847

An obscure cause of gastrointestinal bleeding : recurrent duodenal variceal hemorrhage treated with intramuscular octreotide in the absence of portal hypertension

Robert S. O'Neill
, William J. Wang
, Patrick Chan
, Vincent Ho
, Christine Verdon
, Ian Turner
, Priya Acharya

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Duodenal varices (DVs) are ectopic gastrointestinal varices (ECVs) associated with portal hypertension (PH). We present the case of an 82-year-old woman who presented with symptomatic anemia secondary to DV hemorrhage diagnosed on oesophagogastroduodenoscopy. This lesion was treated with endoscopic adrenaline injection and clip application. The patient re-presented on multiple occasions with bleeding recurrence localized to the duodenum, which was managed with intramuscular octreotide and oral beta-blockade resulting in sustained remission of bleeding. This case highlights a rare cause of upper gastrointestinal hemorrhage and highlights the value of somatostatin analogues for conservative treatment of DVs.

Original language	English
Pages (from-to)	78-80
Number of pages	3
Journal	JGH Open
Volume	7
Issue number	1
DOIs	https://doi.org/10.1002/jgh3.12847
Publication status	Published - Jan 2023

Bibliographical note

Publisher Copyright:
© 2022 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

Open Access - Access Right Statement

© 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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title = "An obscure cause of gastrointestinal bleeding : recurrent duodenal variceal hemorrhage treated with intramuscular octreotide in the absence of portal hypertension",

abstract = "Duodenal varices (DVs) are ectopic gastrointestinal varices (ECVs) associated with portal hypertension (PH). We present the case of an 82-year-old woman who presented with symptomatic anemia secondary to DV hemorrhage diagnosed on oesophagogastroduodenoscopy. This lesion was treated with endoscopic adrenaline injection and clip application. The patient re-presented on multiple occasions with bleeding recurrence localized to the duodenum, which was managed with intramuscular octreotide and oral beta-blockade resulting in sustained remission of bleeding. This case highlights a rare cause of upper gastrointestinal hemorrhage and highlights the value of somatostatin analogues for conservative treatment of DVs.",

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doi = "10.1002/jgh3.12847",

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T1 - An obscure cause of gastrointestinal bleeding : recurrent duodenal variceal hemorrhage treated with intramuscular octreotide in the absence of portal hypertension

AU - O'Neill, Robert S.

AU - Wang, William J.

AU - Chan, Patrick

AU - Ho, Vincent

AU - Verdon, Christine

AU - Turner, Ian

AU - Acharya, Priya

PY - 2023/1

Y1 - 2023/1

N2 - Duodenal varices (DVs) are ectopic gastrointestinal varices (ECVs) associated with portal hypertension (PH). We present the case of an 82-year-old woman who presented with symptomatic anemia secondary to DV hemorrhage diagnosed on oesophagogastroduodenoscopy. This lesion was treated with endoscopic adrenaline injection and clip application. The patient re-presented on multiple occasions with bleeding recurrence localized to the duodenum, which was managed with intramuscular octreotide and oral beta-blockade resulting in sustained remission of bleeding. This case highlights a rare cause of upper gastrointestinal hemorrhage and highlights the value of somatostatin analogues for conservative treatment of DVs.

AB - Duodenal varices (DVs) are ectopic gastrointestinal varices (ECVs) associated with portal hypertension (PH). We present the case of an 82-year-old woman who presented with symptomatic anemia secondary to DV hemorrhage diagnosed on oesophagogastroduodenoscopy. This lesion was treated with endoscopic adrenaline injection and clip application. The patient re-presented on multiple occasions with bleeding recurrence localized to the duodenum, which was managed with intramuscular octreotide and oral beta-blockade resulting in sustained remission of bleeding. This case highlights a rare cause of upper gastrointestinal hemorrhage and highlights the value of somatostatin analogues for conservative treatment of DVs.

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JO - JGH Open

JF - JGH Open

IS - 1

ER -

An obscure cause of gastrointestinal bleeding : recurrent duodenal variceal hemorrhage treated with intramuscular octreotide in the absence of portal hypertension

Abstract

Bibliographical note

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