Idiopathic Colonic Varices: A Rare Cause of Recurrent Lower Gastrointestinal Bleeding

Kahl, Ryan; Patel, Kruti; George, Khalid; Piper, Michael

doi:10.14309/crj.2017.122

Cited by 3 publications

(5 citation statements)

References 2 publications

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“…A family tendency was evaluated in 16 cases, and 6 cases had familial tendency (9,20,25). Occurrence site of varices was mentioned in 23 cases, and 6 cases (26.1%) were ileocolonic varices (6,16,21,22,27,28) and 12 (52.2%) were total colonic varices (2,3,5,17,19,20,23,24,29,30). The entire colon was involved in almost 80% of cases.…”

Section: Discussionmentioning

confidence: 98%

“…To our knowledge, there have been 29 reports on 33 patients with idiopathic colonic varices published since 1986 (Table 2) (2-30). On reviewing these cases, the average age was 44.8 years old, and 17 (77.3%) of the 22 patients were men (4,6-10,12,13,18,19,21,23,24,27,29). A family tendency was evaluated in 16 cases, and 6 cases had familial tendency (9,20,25).…”

Section: Discussionmentioning

confidence: 99%

“…The entire colon was involved in almost 80% of cases. A major complement was hematochezia in most cases (3,4,6-8,10,12,13,16-24,28,29), and some cases presented with diarrhea (20,24,26). Among the 19 cases of hematochezia, 7 (36.8%) required an operation as treatment (3,7,9,12,18,21,22).…”

Section: Discussionmentioning

confidence: 99%

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Idiopathic Ileocolonic Varices Coexisting with a Colon Polyp Treated Successfully by Endoscopy: A Case Report and Literature Review

et al. 2019

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Colonic varices are usually associated with portal hypertension. Idiopathic colonic varices are extremely rare. A 68-year-old man with a positive fecal occult blood test result underwent colonoscopy. We detected idiopathic ileocolonic varices and a coexisting ascending colon polyp. While reviewing the literature, we found cases of biopsies and polypectomies resulting in significant bleeding. We herein report a case of idiopathic ileocolonic varices coexisting with a colon polyp treated successfully by endoscopy. The coexistence of colonic varices and a colorectal lesion that requires endoscopic treatment may lead to significant bleeding. During management, the development of a treatment strategy and obtaining informed consent are necessary.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Idiopathic Ileocolonic Varices Coexisting with a Colon Polyp Treated Successfully by Endoscopy: A Case Report and Literature Review

et al. 2019

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“…Most of the reported cases in the literature presented with LGIB ranging from recurrent minimal per rectal bleeding with anemia to massive and life threatening-bleeding [2,[9][10][11]. Bleeding in these cases may be precipitated by trauma caused by the passage of hard stool or by mucosal ulceration due to ischemia induced by varices enlargement [9,12].…”

Section: Discussionmentioning

confidence: 99%

“…However, initial management follows the same approach as with other cases of LGIB. Correction of the underlying cause in the non-idiopathic case is also needed [1][2][3][4][5][6][7][8][9][10][11][12]. As far as ICVs are concerned, many authors opted to reserve surgical management to those patients presenting with hemodynamically significant or recurrent and intractable bleeding, while conservative therapy, with observation, iron supplements, laxatives or periodic blood transfusion, is a preferred option in the less severe cases [4,6,[9][10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Familial Idiopathic Pan-Colonic Varices Found Incidentally in a Young Patient with a Hepatic Flexure Tumor

et al. 2020

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Rare co-existance of disease or pathology Background:Colonic varices are rare entity that often results from portal vein hypertension and hepatic cirrhosis. In the absence of underlying pathology, they are termed "idiopathic colonic varices". They are usually an incidental finding; however, they can present with varying degrees of lower gastrointestinal bleeding. There is only one reported case in the literature of colonic varices with a concomitant colonic tumor; our patient is the second one with such a presentation. We report a case of this rare combination with the outcomes of the elected surgical management and review the literature. Case Report:A 24-year-old male was referred to our hospital with a 1-month history of colicky abdominal pain. His family history is remarkable of 2 relatives with colonic varices. A computed tomography scan of the abdomen and pelvis showed a hepatic flexure colonic mass. Colonoscopy revealed pancolonic varices. Biopsy from the lesion revealed adenocarcinoma. Options were discussed with the patient to undergo only a right hemicolectomy for his cancer or a total colectomy to include the colonic segment involved with varices, and he elected the first option, with no complications upon 1 year follow up. Conclusions:Idiopathic pan-colonic varices are rare pathology. Their presence with colonic tumor presents a dilemma as to whether a subtotal/total colectomy is needed on the premise that a limited resection may carry the risk of subsequent bleeding. In the literature, the only similar case to ours had brisk postoperative bleeding, while ours did not experience such a complication.

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A Case of Laparoscopic Right Hemicolectomy for Colonic Varices with Transverse Colon Cancer

Fukushima

Nakagawa

Takeuchi

et al. 2018

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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Idiopathic Colonic Varices: A Rare Cause of Recurrent Lower Gastrointestinal Bleeding

Cited by 3 publications

References 2 publications

Idiopathic Ileocolonic Varices Coexisting with a Colon Polyp Treated Successfully by Endoscopy: A Case Report and Literature Review

Idiopathic Ileocolonic Varices Coexisting with a Colon Polyp Treated Successfully by Endoscopy: A Case Report and Literature Review

Familial Idiopathic Pan-Colonic Varices Found Incidentally in a Young Patient with a Hepatic Flexure Tumor

A Case of Laparoscopic Right Hemicolectomy for Colonic Varices with Transverse Colon Cancer

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