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Thrombin Injection for Bleeding Duodenal Varices
Authors:Rudra Rai  M.D.    Shawn W.  Panzer  M.D.    Emil Miskovsky  M.D.   Paul J. Thuluvath  M.D.  M.R.C.P.
Affiliation:Division of Gastroenterology, The Johns Hopkins University Hospital, Baltimore, Maryland
Abstract:Bleeding from duodenal varices, although rare, is often massive and life threatening. Duodenal varices are more common in extrahepatic portal venous obstruction. We report a patient with recurrent bleeding from duodenal varices, secondary to thrombosed portal vein, splenic vein, and mesocaval shunt, who was successfully managed by injection of thrombin.
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