When to avoid glue injection of varices - A case of radiology guided embolization of bleeding ectopic duodenal varices

When to avoid glue injection of varices - A case of radiology guided embolization of bleeding ectopic duodenal varices

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Isolated duodenal variceal hemorrhage is rare and has a high mortality rate, but the diagnosis and treatment can be challenging.We describe a case in which endoscopic variceal injection was deemed too CALCIUM BUILD-UP high risk and not feasible due to patient factors of rapid blood flow and an unstable scope position.Eventually, an interventional radiology (IR) based embolization technique, using a combination of coils and glue, was successful in achieving hemostasis.This case presents an alternative strategy for clinicians Face Wipes in managing duodenal variceal bleeding.