Pavel Christopher, Plotogea Oana Mihaela, Rinja Ecaterina Mihaela, Bogu Cosmin-Viorel, Turcescu Andrei
Department 5, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Department of Gastroenterology, Clinical Emergency Hospital of Bucharest, 014461 Bucharest, Romania.
Reports (MDPI). 2025 Feb 6;8(1):18. doi: 10.3390/reports8010018.
Ectopic variceal bleeding is a rare, but regrettably life-threatening, complication of hepatic cirrhosis. There is no standardized approach to this life-threatening event due to the absence of randomized controlled trials. Prompt identification of the bleeding site is crucial for timely hemostasis using endoscopic, radiologic or surgical methods. Throughout this paper, we present the case of a 52-year-old patient with decompensated alcoholic cirrhosis, who was admitted for melena. Upper and lower endoscopy failed to identify the source of bleeding. Ultimately, an evaluation with endoscopic capsule identified ileal varices. The patient was referred to surgery and the outcome was successful. We approached the diagnostic and therapeutic arsenals in managing ectopic varices. Although ectopic variceal bleeding has a substantial potential for fatal outcomes, prompt intervention in a multidisciplinary team could be the key for patient salvation.
异位静脉曲张出血是肝硬化一种罕见但却危及生命的并发症。由于缺乏随机对照试验，对于这一危及生命的情况尚无标准化的治疗方法。迅速识别出血部位对于及时采用内镜、放射或手术方法止血至关重要。在本文中，我们介绍了一名52岁失代偿期酒精性肝硬化患者因黑便入院的病例。上消化道和下消化道内镜检查均未能确定出血来源。最终，通过内镜胶囊评估发现了回肠静脉曲张。该患者被转诊至外科，手术结果成功。我们探讨了处理异位静脉曲张的诊断和治疗手段。尽管异位静脉曲张出血有很大的潜在致命风险，但多学科团队的及时干预可能是挽救患者的关键。
