Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology · 2009
[Rupture of ileal varices in a type C liver cirrhosis patient: a case report].
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Suzuki Takahisa, Murayama Mutsumi, Shinoda Masataka, Takashi Hitomi, Uchiyama Isako, Morise Kazuhiro, Usami Akihisa, Tsuji Hideki, Haruki Nobuhiro, Tashiro Kazuhiro, Ando Takafumi, Goto Hidemi
Аннотация
A 74-year-old woman was admitted to our hospital with recurrent massive lower gastrointestinal bleeding. She had a history of type C liver cirrhosis and appendectomy, and had undergone endoscopic ligation of esophageal varices one year before. Three-dimensional CTA revealed ileal varices in the right lower quadrant of the abdomen. Superior mesenteric arteriography demonstrated varices at the corresponding area and collateral veins from the superior mesenteric vein to the right ovarian vein. Ileal varices were diagnosed and ileal resection was performed. At surgery, exposed vessels were present at the mucosal surface of the resected specimen and they were thought to be the origin of hemorrhage. In conclusion, bleeding from small intestinal varices, though uncommon, should be considered when the origin of melena is unidentified in a patient with liver cirrhosis.