Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 26, 2018; 6(16): 1217-1222
Published online Dec 26, 2018. doi: 10.12998/wjcc.v6.i16.1217
Duodenal variceal bleeding secondary to idiopathic portal hypertension treated with transjugular intra-hepatic porto-systemic shunt plus embolization: A case report
Bu-Shan Xie, Jia-Wei Zhong, An-Jiang Wang, Zhen-Dong Zhang, Xuan Zhu, Gui-Hai Guo
Bu-Shan Xie, Jia-Wei Zhong, An-Jiang Wang, Xuan Zhu, Gui-Hai Guo, Department of Gastroenterology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China
Zhen-Dong Zhang, Department of Pathology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China
Author contributions: All authors contributed to the acquisition of data, writing, and revision of this manuscript; Guo GH designed the report and revised the article; Zhong JW, Wang AJ and Zhu X collected the clinical data; Zhang ZD analyzed the pathologic data; Xie BS analyzed the data and wrote the paper.
Supported by National Natural Science Foundation of China under Grant No. 81503437.
Informed consent statement: The patient and her family provided informed written consent.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author to: Gui-Hai Guo, MA, Chief Doctor, Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, No.17 Yongwai Street, Nanchang 330006, Jiangxi Province, China. 2267582610@qq.com
Telephone: +86-791-88692540 Fax: +86-791-8623153
Received: October 2, 2018
Peer-review started: October 2, 2018
First decision: October 18, 2018
Revised: November 20, 2018
Accepted: November 23, 2018
Article in press: November 24, 2018
Published online: December 26, 2018
Core Tip

Core tip: Duodenal varices are a lesser-known complication of non-cirrhotic portal hypertension. The authors report a complicated case of duodenal varices secondary to idiopathic portal hypertension in a patient with recurrent anemia for two years, which were undetected by the endoscopist at a local hospital, but observed by repeated endoscopy in the digestive department in our hospital. The duodenal varices were arrested by transjugular intra-hepatic porto-systemic shunt plus embolization. To the best of the authors’ knowledge, this is the first report to explore transjugular intra-hepatic porto-systemic shunt treatment for duodenal varices secondary to idiopathic portal hypertension.