Endoscopic band ligation for transverse colonic variceal bleeding: case report and review of the literature
Autor: | Jiang Wang, Ming Fang Ruan, Shan Xie, Min Bi Li |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty Cirrhosis Colon lcsh:Medicine Colonoscopy Case Report Varicose Veins Colonic Diseases 03 medical and health sciences 0302 clinical medicine Esophageal varices medicine Humans Ligation Varix medicine.diagnostic_test business.industry lcsh:R Transverse colon General Medicine Abdominal distension medicine.disease Colonic varices digestive system diseases Hematochezia Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom Gastrointestinal Hemorrhage business |
Zdroj: | Annals of Saudi Medicine, Vol 40, Iss 3, Pp 255-258 (2020) Annals of Saudi Medicine |
ISSN: | 0975-4466 0256-4947 |
DOI: | 10.5144/0256-4947.2020.255 |
Popis: | Colonic varices are lesser-known in comparison with gastroesophageal varices in a complication associated with liver cirrhosis. The ideal therapeutic intervention for a colonic varix is still unclear. We report a 42 year-old man with 20 years of alcohol use who presented with hematochezia and abdominal distension. The patient was diagnosed with alcoholic liver cirrhosis. The colonoscopy revealed a dilated and tortuous varix in the transverse colon close to the hepatic flexure with oozing blood, a communicating branch and with “red sign”, evidence of acute bleeding. Endoscopic band ligation (EBL), the most useful intervention for esophageal varices, was further successfully performed to arrest the bleeding colonic varices. One month after initial treatment, the colonic varices nearly vanished and were replaced by an ulcer. It is extremely rare for colonic varices to be treated with EBL. There is only one similar case in reported literature, but it seems to be safe and effective as an intervention for EBL for acute colonic variceal bleeding. SIMILAR CASES: Second case treated by endoscopic band ligation. |
Databáze: | OpenAIRE |
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