case_images: PMC10771916_01
case_images: Endoscopy demonstrating a single ulcer with an adherent clot and active bleeding.
case_images: CRIHEP2023-7094924.001.jpg
case_images: PMC10771916_01_CRIHEP2023-7094924.001.jpg
case_images: fig1
case_images: The endoscopy showed no obvious esophagogastric or duodenal varices, but mild portal hypertensive gastropathy, 3 non-bleeding, clean-based ulcers in the duodenal bulb, and 1 ulcer with an adherent clot that was actively bleeding into the 2nd portion of the duodenum (Figure 1).
case_images: Computed tomography angiography showing a large duodenal varix with active hemorrhage into the second portion of the duodenum (red arrow).
case_images: CRIHEP2023-7094924.002.jpg
case_images: PMC10771916_01_CRIHEP2023-7094924.002.jpg
case_images: fig2
case_images: He underwent a computed tomography (CT) angiography of the abdomen and pelvis, which showed active hemorrhage into the 2nd and 3rd portion of the duodenum from a large duodenal varix extending into the eroded duodenal wall (Figure 2).