Management of bulb varices: A rare case of upper gastrointestinal bleeding

This article reports a rare case of upper gastrointestinal bleeding caused by an ulcerated varice in the duodenal bulb, associated with portal hypertension secondary to sarcoidosis. A 54-year-old patient was successfully treated with glue therapy without complications. Ectopic varices, such as those in the duodenal bulb, are rare but serious causes of gastrointestinal bleeding. Their management is complex due to their atypical location and the lack of standardized protocols. This case underscores the value of endoscopic techniques, such as glue therapy, combined with a multidisciplinary approach to optimize treatment and prevent recurrence.