Bleeding duodenal varices, an unusual presentation of portal hypertension: 3D MSCT of the feeding branches facilitates temporizing treatment by percutaneous transhepatic embolization.

Though duodenal varix ruptures account for only 5% of variceal hemorrhages, they often have a fatal outcome with a mortality as high as 40%. Their detection and treatment, which often prove quite difficult endoscopically, benefit of CT imaging and percutaneous endovascular radiological techniques.