Transverse colon varices
Gastroenterology and Hepatology from Bed to Bench,
Vol. 15 No. 2 (2022),
15 March 2022
https://doi.org/10.22037/ghfbb.vi.2433
Abstract
Portal hypertension associated with liver cirrhosis usually leads to gastroesophageal varices; however, ectopic varices secondary to liver cirrhosis are not common, especially colonic varices which occur with a low frequency.
We are going to discuss the case of a 75-year-old man with liver (HBV) cirrhosis who was admitted to the hospital with rectorrhagia. Colonoscopy revealed evidence of acute bleeding in tortuous colonic varices. The band ligation performed during the colonoscopy had failed to control the bleeding.
The patient was referred to Taleghani Hospital in Tehran, and rectorrhagia was subsequently successfully controlled by BRTO technique (balloon-occluded retrograded transvenous obliteration).
- Colonic varices
- Band ligation
- BRTO
How to Cite
References
Al Khalloufi K, Laiyemo AO. Management of rectal varices in portal hypertension. World J Hepatol 2015;7:2992-8.
Gudjonsson H, Zeiler D, Gamelli RL, Kaye MD. Colonic varices. Report of an unusual case diagnosed by radionuclide scanning, with review of the literature. Gastroenterology 1986;91:1543–7.
FeldmaN M Sr, Smith VM, Warner CG. Varices of the colon. Report of three cases. JAMA 1962;179:729-30.
Kitagawa S, Sato T, Hirayama A. Colonic Varices Due to Chronic Pancreatitis: A Rare Cause of Lower Gastrointestinal Bleeding. ACG Case Rep J 2015;2:168-70.
McCormack TT, Bailey HR, Simms JM, Johnson AG. Rectal varices are not piles. Br J Surg 1984;71:163.
Ganguly S, Sarin SK, Bhatia V, Lahoti D. The prevalence and spectrum of colonic lesions in patients with cirrhotic and noncirrhotic portal hypertension. Hepatology 1995;21:1226-31.
Hosking SW, Smart HL, Johnson AG, Triger DR. Anorectal varices, haemorrhoids, and portal hypertension. Lancet 1989;1:349-52.
Sato T, Akaike J, Toyota J, Karino Y, Ohmura T. Clinicopathological features and treatment of ectopic varices with portal hypertension. Int J Hepatol 2011;2011:960720.
Abraham-Igwe C, Patel R. Idiopathic colonic varices: a case report. Endoscopy 2002;34:680.
Idezuki Y. General rules for recording endoscopic findings of esophagogastric varices (1991). Japanese Society for Portal Hypertension. World J Surg 1995;19:420–2.
Kanagawa H, Mima S, Kouyama H, Gotoh K, Uchida T, Okuda K. Treatment of gastric fundal varices by balloon-occluded retrograde transvenous obliteration. J Gastroenterol Hepatol 1996;11:51-8.
Saad WE. Balloon-occluded retrograde transvenous obliteration of gastric varices: concept, basic techniques, and outcomes. Semin Intervent Radiol, 2012;29:118-128.
Anan A, Irie M, Watanabe H, Sohda T, Iwata K, Suzuki N, et al. Colonic varices treated by balloon-occluded retrograde transvenous obliteration in a cirrhotic patient with encephalopathy: a case report. Gastrointest Endosc 2006;63:880-4.
Liu C, Srinivasan S, Babu SB, Chung R. Balloon-occluded retrograde transvenous obliteration of colonic varices: a case report. CVIR Endovasc 2020;3:17.
- Abstract Viewed: 32 times
- PDF Downloaded: 28 times