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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2021; 12(02): 116-117
DOI: 10.1055/s-0041-1733346
Endoscopy Video

Isolated Ascending Colon Varix: An Unusual Cause of Lower Gastrointestinal Bleed

Jahnvi Dhar
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Jayanta Samanta 
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Gaurav Muktesh
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Rakesh Kochhar
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
› Institutsangaben Funding None.
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Abstract

Ectopic varices, defined as dilated portosystemic veins located at unusual sites other than the gastroesophageal junction and fundus, have been reported in cases of cirrhosis with underlying portal hypertension. The common sites usually are the rectum and duodenum. Isolated colon varix is therefore a rare phenomenon and such varix presenting with lower gastrointestinal bleed as the first manifestation is still uncommon. A high index of clinical suspicion, timely imaging with full-length colonoscopy, and subsequent endoscopic therapy can effectively manage this rare entity.

Keywords

portal hypertension - cirrhosis - ectopic varix - lower gastrointestinal bleed


Publikationsverlauf

Artikel online veröffentlicht:
02. Oktober 2021

© 2021. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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