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. 2011:2011:960720.
doi: 10.4061/2011/960720. Epub 2011 Jul 31.

Clinicopathological features and treatment of ectopic varices with portal hypertension

Takahiro Sato  1 , Jun Akaike, Jouji Toyota, Yoshiyasu Karino, Takumi Ohmura
Affiliations

Clinicopathological features and treatment of ectopic varices with portal hypertension

Takahiro Sato et al. Int J Hepatol. 2011.

Abstract

Bleeding from ectopic varices, which is rare in patients with portal hypertension, is generally massive and life-threatening. Forty-three patients were hospitalized in our ward for gastrointestinal bleeding from ectopic varices. The frequency of ectopic varices was 43/1218 (3.5%) among portal hypertensive patients in our ward. The locations of the ectopic varices were rectal in thirty-two, duodenal in three, intestinal in two, vesical in three, stomal in one, and colonic in two patients. Endoscopic or interventional radiologic treatment was performed successfully for ectopic varices. Hemorrhage from ectopic varices should be kept in mind in patients with portal hypertension presenting with lower gastrointestinal bleeding.

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Figures

Figure 1
Figure 1
(a) Computed tomography showing the vessel image in the jejunum. (b) Double-balloon enteroscopy revealed jejunal varices with a white plug.
Figure 2
Figure 2
Balloon-occluded retrograde transvenous obliteration was performed successfully for jejunal varices.
Figure 3
Figure 3
(a) Color flow images of vesical varices can be delineated clearly in the urine-filled bladder. (b) Cystoscopic examination revealed vesical varices on the anterior wall of the bladder.
See this image and copyright information in PMC

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