Congenital colonic varices in the adult

Villarreal, Hugo A.; Marts, Boyd C.; Longo, Walter E.; Ure, Tina; Vernava, Anthony M.; Joshi, Shobha

doi:10.1007/bf02049739

Cited by 11 publications

(2 citation statements)

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“…In the patient who continues to have recurrent life-threatening bleeding, as ours did, the condition must be managed surgically. There are only eight cases in the literature of patients undergoing surgery for idiopathic colonic variceal bleeding (1,5,7,(9)(10)(11)(12)(13). The definite majority undergo segmental resections at an older age.…”

Section: Discussionmentioning

confidence: 93%

Extensive Idiopathic Colonic Varices in a Young Patient

et al. 2005

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Section: Discussionmentioning

confidence: 93%

Extensive Idiopathic Colonic Varices in a Young Patient

et al. 2005

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“…Due to the idiopathic nature of the disease and the associated blood loss, at least 13 cases required at least a partial resection of the bowel. [1][2][3][4][5][6][7][8][9][10][11][12][13] However, conservative management was deemed prudent in most cases. 12,[14][15][16][17][18][19][20][21][22][23][24][25][26][27] Most colonic varices of known origin were found along either the distribution of the superior or inferior mesenteric vein, but idiopathic varices tended to occur throughout the colon.…”

Section: Resultsmentioning

confidence: 99%

A Case of Idiopathic Colonic Varices

Speicher¹,

Keegan²,

Kirk³

2014

Journal of Osteopathic Medicine

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Colonic varices, usually detected by means of colonoscopy, are extremely rare and typically indicative of portal hypertension or chronic hepatopathology. Even more rare are those cases with no underlying disease, or idiopathic colonic varices. The authors report a case of these unexplained varices found during colonoscopy of a 30-year-old man with a 10-year history of diarrhea and occasional bloody stool. A thorough workup was performed, revealing no underlying abnormalities for his varices. Additionally, the authors review the literature of this rare diagnosis. Physicians must rule out hepatic, vascular, and cardiac causes before classifying a case of varices as idiopathic.

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Idiopathic ileo-colonic varices in a young patient

et al. 2011

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Colonic varices are an infrequent cause of rectal bleeding and haematochezia and they are often related to portal hypertension due to either haepatopathy or any other cause of obstruction of the portal circulation. A 20-year-old patient was studied after she suffered a serious episode of rectal bleeding, followed by syncope. In view of her clinical picture of serious rectal bleeding, which could not be kept under control by means of medical therapy or endoscopy, the patient underwent total video laparoscopic colectomy surgery with ileum-rectum anastomosis. The histological examination revealed prominent ectasia presence of venous vessels under the mucosa. Colonic varices are one of the most common causes of low gastroenteric bleeding and in most cases they are caused by portal hypertension or intestinal occlusion. In less common cases, they are caused by thrombosis of the splenic vein, cardiac insufficiency, venous mesenteric thrombosis, extrinsic compression on tumoral invasion. Idiopathic colonic varices are described in the literature as the cause of low gastroenteric bleeding in not more than 20 patients. Therapeutic options are conservative follow-up or surgery. As it happened in our case, surgery is generally the chosen treatment, in view of the risk of recurring bleeding, the young age of patients and the low degree of co-morbidity of patients. The prognosis for surgery of idiopathic colonic varices is very good at any age when compared with the one for the treatment of varices caused by cirrhosis of the liver, thus confirming the importance of diagnosing idiopathic varices, only after having ruled out the presence of other basic pathologies.

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Congenital colonic varices in the adult

Abstract: Surgical resection of congenital colonic varices is associated with a low incidence of morbidity and mortality, and a favorable long-term prognosis can be expected when there is no evidence of hepatocellular disease (portal hypertension).

Cited by 11 publications

References 3 publications

Extensive Idiopathic Colonic Varices in a Young Patient

Extensive Idiopathic Colonic Varices in a Young Patient

A Case of Idiopathic Colonic Varices

Idiopathic ileo-colonic varices in a young patient

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