Thrombin Injection for Bleeding Duodenal Varices |
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Authors: | Rudra Rai M.D. Shawn W. Panzer M.D. Emil Miskovsky M.D. Paul J. Thuluvath M.D. M.R.C.P. |
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Affiliation: | Division of Gastroenterology, The Johns Hopkins University Hospital, Baltimore, Maryland |
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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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