Ectopic Variceal Bleed of Duodenum Successfully Treated with TIPS and 2 Years Follow-Up

Bleeding from duodenal varices is uncommon in patients with portal hypertension, but when it occurs, it is typically severe and life -threatening. This condition is not limited to those with extrahepatic portal hypertension but can also affect individuals with liver cirrhosis Ectopic varices, which contribute to about 5% of all variceal bleeding cases, include duodenal varices, accounting for 1-3% of varices in cirrhotic patients. These varices can appear in various locations such as the duodenum, jejunum, ileum, colon, anorectum, peristomal area, biliary tract, peritoneum, retroperitoneum, umbilicus, urinary bladder, uterus, ovaries, and others. Diagnosing and managing bleeding from ruptured duodenal varices pose significant challenges. A transjugular intrahepatic portosystemic shunt (TIPS) is an effective treatment option for controlling bleeding from duodenal varices associated with liver cirrhosis. However, interventional radiologists must be vigilant about potential risks and complications when considering this approach