Copyright
©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2026; 14(4): 116648
Published online Feb 6, 2026. doi: 10.12998/wjcc.v14.i4.116648
Published online Feb 6, 2026. doi: 10.12998/wjcc.v14.i4.116648
Upper gastrointestinal bleeding with duodenal varix: A case report
Hannah Lee, Yeong Heon Han, Jun-Won Chung, Kyoung Oh Kim, Kwang An Kwon, Jung Ho Kim, Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, College of Medicine, Gachon University, Incheon 21565, South Korea
Co-first authors: Hannah Lee and Yeong Heon Han.
Author contributions: Chung JW designed the report and determined the clinical significance of the case; Chung JW, Lee H, and Han YH collected and analyzed the clinical and imaging data; Lee H analyzed the data and wrote the manuscript; Chung JW, Lee H, and Han YH treated the patient in this case; Chung JW, Kim KO, Kwon KA, and Kim JH supervised the clinical interpretation and manuscript development; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun-Won Chung, MD, PhD, Professor, Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, College of Medicine, Gachon University, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon 21565, South Korea. junwonchung@daum.net
Received: November 17, 2025
Revised: January 2, 2026
Accepted: January 19, 2026
Published online: February 6, 2026
Processing time: 80 Days and 14.6 Hours
Revised: January 2, 2026
Accepted: January 19, 2026
Published online: February 6, 2026
Processing time: 80 Days and 14.6 Hours
Core Tip
Core Tip: Ectopic varices occur at uncommon sites outside the typical locations of esophageal or gastric varices, making their assessment and management particularly challenging. We report the case of a 56-year-old male with a history of liver transplantation and segmentectomy for hepatocellular carcinoma with underlying liver cirrhosis and hepatitis B virus infection. Successful hemostasis was achieved through a combination of embolization and surgical portal vein and superior mesenteric vein bypass.