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Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery

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Recurrent duodenal variceal bleeding

https://doi.org/10.16931/1995-5464.2025-4-78-83

Abstract

This case study reports the diagnostic and clinical features and offers management strategies for duodenal variceal bleeding in patients with portal hypertension. Particular attention is given to the potential development of ectopic varices in the duodenum, where bleeding is a highly dangerous and life-threatening complication. The report outlines available diagnostic tests used to identify the source of bleeding. The anatomical characteristics of duodenal varices and the high rate of bleeding recurrence are emphasized as special treatment challenges. The case described highlights the importance of early detection of duodenal varices and of comprehensive management of patients with portal hypertension and its complications of different severity.

About the Authors

S. B. Zhigalova
Petrovsky Russian Research Center of Surgery
Russian Federation

Svetlana B. Zhigalova – Doct. of Sci. (Med.), Leading Researcher, Laboratory of Emergency Surgery and Portal Hypertension 

2, Abrikosovsky lane, Moscow, 119991 



G. V. Manukyan
Petrovsky Russian Research Center of Surgery
Russian Federation

Garik V. Manukyan – Doct. of Sci. (Med.), Head of the Laboratory of Emergency Surgery and Portal Hypertension 

2, Abrikosovsky lane, Moscow, 119991 



S. L. Malov
Petrovsky Russian Research Center of Surgery
Russian Federation

Svyatoslav L. Malov – Specialist in X-ray Endovascular Diagnostics and Treatment, Laboratory of Emergency Surgery and Portal Hypertension 

2, Abrikosovsky lane, Moscow, 119991 



A. R. Gureva
Petrovsky Russian Research Center of Surgery
Russian Federation

Aigul R. Gureva Graduate Student, Laboratory of Emergency Surgery and Portal Hypertension 

2, Abrikosovsky lane, Moscow, 119991 



References

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Zhigalova S.B., Manukyan G.V., Malov S.L., Gureva A.R. Recurrent duodenal variceal bleeding. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2025;30(4):78-83. (In Russ.) https://doi.org/10.16931/1995-5464.2025-4-78-83

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ISSN 1995-5464 (Print)
ISSN 2408-9524 (Online)