Refractory duodenal ulcer caused by portal stent graft exposure

Fig. 1. (A) Active ulceration with an exposed vessel in the duodenal bulb. (B) Metallic stent exposure at the base of the ulcer (arrow: exposed portal stent).

Fig. 2. Complete thrombotic occlusion of the portal vein stent graft with duodenal penetration on computed tomography (arrow: portal stent).

Fig. 3. Healed ulceration on follow-up endoscopy.

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