Ravilla Jayasree, Doantrang Du
Internal Medicine, Monmouth Medical Center, Long Branch, USA.
Cureus. 2024 May 17;16(5):e60490. doi: 10.7759/cureus.60490. eCollection 2024 May.
Colonic varicose veins are very rare and are usually discovered incidentally during colonoscopy or when complications occur, such as lower gastrointestinal (GI) bleeding. The primary cause of colonic varices is usually portal hypertension secondary to liver disease or very rarely due to pancreatic disease (e.g., pancreatic adenocarcinoma). Varicose veins secondary to cirrhosis are often seen in the upper GI tract but rarely in the lower GI tract. Here, we report a 54-year-old woman who presented with colonic varices due to decompensated alcoholic cirrhosis. The main intention of this case report was to raise awareness of the possibility of developing colonic varices from liver cirrhosis and to promptly identify and manage its side effects due to the major complication which is lower GI bleeding.
结肠静脉曲张非常罕见,通常在结肠镜检查期间偶然发现,或在出现诸如下消化道出血等并发症时被发现。结肠静脉曲张的主要原因通常是继发于肝脏疾病的门静脉高压,极少数情况下是由于胰腺疾病(如胰腺腺癌)。肝硬化继发的静脉曲张常见于上消化道,但很少见于下消化道。在此,我们报告一名54岁女性,因失代偿期酒精性肝硬化出现结肠静脉曲张。本病例报告的主要目的是提高对肝硬化发展为结肠静脉曲张可能性的认识,并及时识别和处理因主要并发症即下消化道出血导致的副作用。