横结肠静脉曲张

Hatami Behzad, Salarieh Naghmeh, Ketabi Moghadam Pardis, Mahdavi Mehran, Farahani Azam

Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Gastroenterol Hepatol Bed Bench. 2022 Spring;15(2):184-187.

Portal hypertension associated with liver cirrhosis usually leads to gastroesophageal varices; however, ectopic varices secondary to liver cirrhosis are not common, especially colonic varices which occur with a low frequency. We are going to discuss the case of a 75-year-old man with liver (HBV) cirrhosis who was admitted to the hospital with rectorrhagia. Colonoscopy revealed evidence of acute bleeding in tortuous colonic varices. The band ligation performed during the colonoscopy had failed to control the bleeding. The patient was referred to Taleghani Hospital in Tehran, and rectorrhagia was subsequently successfully controlled by BRTO technique (balloon-occluded retrograded transvenous obliteration).

与肝硬化相关的门静脉高压通常会导致胃食管静脉曲张；然而，肝硬化继发的异位静脉曲张并不常见，尤其是结肠静脉曲张，其发生率较低。我们将讨论一名75岁男性乙肝肝硬化患者因直肠出血入院的病例。结肠镜检查发现迂曲的结肠静脉曲张有急性出血迹象。结肠镜检查期间进行的套扎术未能控制出血。该患者被转诊至德黑兰的塔莱加尼医院，随后通过BRTO技术（球囊闭塞逆行静脉栓塞术）成功控制了直肠出血。