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Massive Lower Gastrointestinal Bleeding From Idiopathic Ileocolonic Varix: Report of a Case

2006; Lippincott Williams & Wilkins; Volume: 49; Issue: 4 Linguagem: Inglês

10.1007/s10350-005-0279-2

1530-0358

Luís Lopes, José María Ramada, Manuela Certo, Pedro Pereira, José Maria Soares, Manuel Ribeiro, Jorge Areias, Carlos Pinho Vaz,

Helicobacter pylori-related gastroenterology studies

Idiopathic varices of the entire colon are very rare. We report on a 64-year-old patient with massive lower gastrointestinal hemorrhage from an extensive ileocolonic varix. Diagnosis was established by colonoscopy. The patient underwent an emergency ileocolectomy with satisfactory results. This rare case shows the importance of colonoscopy in the evaluation of patients with lower gastrointestinal hemorrhage and reminds us that sometimes the diagnosis is not what we expect. Recognition of this abnormality is important because varices may be the cause of massive lower gastrointestinal hemorrhage.