Ho Sabrina, Azizian John, Tey Kai
Internal Medicine, University of Arizona College of Medicine, Tucson, USA.
Gastroenterology and Hepatology, University of Arizona College of Medicine, Tucson, USA.
Cureus. 2025 Mar 12;17(3):e80479. doi: 10.7759/cureus.80479. eCollection 2025 Mar.
Ectopic varices, specifically ileal varices, are a rare cause of gastrointestinal bleeding in cirrhotics. We present a case of a 42-year-old female with a history of cirrhosis complicated by esophageal varices and hepatic encephalopathy who initially presented with anemia in the setting of hematochezia. After several diagnostic methods, she was ultimately confirmed to have ileal varices, underwent placement of a transjugular intrahepatic portosystemic shunt (TIPS) and varix embolization, and her hematochezia resolved. This case highlights a rare presentation of ileal varices that were only discovered after extensive workup and required a mixed therapeutic approach via interventional radiology.
异位静脉曲张，尤其是回肠静脉曲张，是肝硬化患者胃肠道出血的罕见原因。我们报告一例42岁女性，有肝硬化病史，并发食管静脉曲张和肝性脑病，最初因便血出现贫血。经过多种诊断方法后，最终确诊为回肠静脉曲张，接受了经颈静脉肝内门体分流术（TIPS）和曲张静脉栓塞术，便血症状得以缓解。该病例突出了回肠静脉曲张的罕见表现，这种表现仅在广泛检查后才被发现，并且需要通过介入放射学采用综合治疗方法。
