Case of Ectopic Variceal Bleed Managed with Percutaneous Transhepatic Portal Vein Recanalization

A variety of complications and associated clinical presentations may be seen in patients with cirrhotic and non-cirrhotic portal hypertension. We present one such case of Upper GI hemorrhage from ectopic duodenal varices in a case of pre-hepatic portal hypertension due to Extrahepatic Portal Venous Obstruction (EHPVO). The case was managed successfully with endovascular Portal Vein Recanalization (PVR) and metallic stent deployment. With adequate technical success, improved symptoms and laboratory parameters, the patient was discharged on long-term anticoagulation and interval follow-up.