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Báo cáo y học: " Recurrent lower gastrointestinal bleeding from idiopathic ileocolonic varices: a case report"

Tham khảo luận văn - đề án 'báo cáo y học: " recurrent lower gastrointestinal bleeding from idiopathic ileocolonic varices: a case report"', luận văn - báo cáo phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Krishna et al. Journal of Medical Case Reports 2010 4 257 http www.jmedicalcasereports.eom content 4 1 257 jAl JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Recurrent lower gastrointestinal bleeding from idiopathic ileocolonic varices a case report Ravula Phani Krishna1 Rajneesh Kumar Singh1 Uday C Ghoshal2 Abstract Introduction Varices 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 presentation We 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. Conclusion Colonic 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. Introduction Varices of the colon are a rare cause of lower gastrointestinal bleed 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 bleed. Case report A 21-year-old Asian man from north India presented with history of recurrent episodes of lower gastrointestinal bleeding .