Recurrent lower gastrointestinal bleeding from idiopathic ileocolonic varices: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 4:257

First Online: 10 August 2010Received: 22 October 2009Accepted: 10 August 2010DOI: 10.1186-1752-1947-4-257

Cite this article as: Krishna, R.P., Singh, R.K. & Ghoshal, U.C. J Med Case Reports 2010 4: 257. doi:10.1186-1752-1947-4-257

Abstract

IntroductionVarices of the colon are a rare cause of lower gastrointestinal bleeding, usually associated with portal hypertension due to liver cirrhosis or other causes of portal venous obstruction. Idiopathic colonic varices are extremely rare. Recognition of this condition is important as idiopathic colonic varices may be a cause of recurrent lower gastrointestinal bleeding.

Case presentationWe report the case of a 21-year-old Asian man from north India who presented with recurrent episodes of lower gastrointestinal bleeding. Colonoscopy revealed varices involving the terminal ileum and colon to the sigmoid. Thorough evaluation was undertaken to rule out any underlying portal hypertension. Our patient underwent subtotal colectomy including resection of involved terminal ileum and an ileorectal anastomosis.

ConclusionColonic varices are an uncommon cause of lower gastrointestinal bleeding. Idiopathic colonic varices are diagnosed after excluding underlying liver disease and portal hypertension. Recognition of this condition is important as prognosis is good in the absence of liver disease and is curable by resection of the involved bowel.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-257 contains supplementary material, which is available to authorized users.

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Author: Ravula Phani Krishna - Rajneesh Kumar Singh - Uday C Ghoshal

Source: https://link.springer.com/







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