TITLE:
A Case Report on Duodenal Variceal Bleeding Treated with Glue Injection
AUTHORS:
Nov Neang, Chey Vithiarithy, Kang Khounthai, Khuon Viseth, Mon Panha, Uong Panha, Un Seiha, Um Sokchay, Unn Keoseyla, Chhit Dimanche, Kann Sovannvireak, Kaing Kimyi, Ny Tharuom, SOU Syphanna
KEYWORDS:
Upper Gastrointestinal Bleeding, Portal Hypertension, Duodenal Variceal Bleeding, Glue Injection
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.12 No.11,
November
4,
2022
ABSTRACT: Introduction: We present a case of upper gastrointestinal bleeding in a woman aged 56 years with liver cirrhosis who was diagnosed with isolated duodenal variceal bleeding, which was successfully treated with histoacryl injection. Case Presentation: A 57-year female cirrhotic patient presented with melena. She had been diagnosed with duodenal variceal bleeding and treated successfully with 2.4 ml histoacryl using a normal gastroscope. The patient subsequently remained stable and free of any further GI bleeding. She was discharged 48 hours later. Her hemoglobin remained stable at 9 g/L. Conclusion: The histoacryl glue injection provides an effective treatment. Hence, this should ideally be performed by an experienced endoscopist who is aware of and vigilant for the serious complications of this treatment option.