Case Reports in Medicine
Volume 2012, Article ID 618729, 4 pages
http://dx.doi.org/10.1155/2012/618729
Portal Hypertensive Duodenopathy Manifesting as “Kissing” Duodenal Ulcers in a Nigerian with Alcoholic Cirrhosis: A Case Report and Brief Review of the Literature
1Department of Medicine, General Hospital, Ikorodu, Lagos State, Nigeria
2Lister Medical Center, Ogba, Lagos State, Nigeria
Received 14 July 2012; Accepted 28 September 2012
Academic Editor: Chin-Jung Wang
Copyright © 2012 Aderemi Oluyemi and Adeniyi Amole. 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.
Abstract
Multiple duodenal ulcers are an uncommon finding in portal hypertensive duodenopathy (PHD). They represent a potential source of clinically significant bleeding from the upper gastrointestinal system in patients with cirrhosis. As this particular ulcer entity in relation to PHD has no distinguishing symptoms aside from those relating to the consequent bleeding, most of them are found either on routine endoscopic screening for cirrhotics or on endoscopic examination for cause(s) of bleeding in this patient population. The case documented below highlights many of the aspects of pathogenesis, associations, and consequences of this unique endoscopic finding in cirrhotic patients.