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Case Reports in Hepatology
Volume 2014, Article ID 140959, 3 pages
Case Report

Bleeding Ectopic Varices as the First Manifestation of Portal Hypertension

1Department of Gastroenterology, Indira Gandhi Medical College, Shimla, Himachal Pradesh 171001, India
2Department of Medicine, Dr. Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh 176001, India

Received 7 June 2014; Accepted 9 September 2014; Published 22 September 2014

Academic Editor: Melanie Deutsch

Copyright © 2014 Brij Sharma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Ectopic varices are defined as dilated portosystemic collateral veins in locations other than the gastroesophageal region. We present a case of recurrent upper gastrointestinal bleeding as the first manifestation of portal hypertension. We diagnosed ectopic duodenal varices without gastroesophageal varices on upper GI endoscopy and extrahepatic portal venous obstruction (EHPVO) on CT angiography and managed this case.