Duodenal variceal bleeding after balloon-occluded retrograde transverse obliteration: Treatment with transjugular intrahepatic portosystemic shunt

Figure 2 An emergency endoscopic examination revealed a small, linear esophageal varices without evidence of recent bleeding. A: In the second portion of the duodenum, nodular varices expanded before balloon occluded retrograde transvenous obliteration and presented with hematocystic spots; B, C: Enhanced computed tomography scan obtained 5 mo after balloon occluded retrograde transvenous obliteration revealing complete obliteration of gastric varices (black arrow); however, duodenal varices were aggravated (white arrow).