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Case Reports
. 2020 Mar 2;7(2):e00315.
doi: 10.14309/crj.0000000000000315. eCollection 2020 Feb.

A Therapeutic Approach to Cecal Varices

Pujitha Kudaravalli  1 , Sheikh A Saleem  2 , Venkata Satish Pendela  3 , Divey Manocha  2
Affiliations
Case Reports

A Therapeutic Approach to Cecal Varices

Pujitha Kudaravalli et al. ACG Case Rep J. .

Abstract

Ectopic varices account for 1%-5% of all variceal bleeding episodes. The most common presentation of cecal varices is an acute episode of a massive lower gastrointestinal hemorrhage. However, cecal varices can be found incidentally and can be silent for a prolonged period of time before presenting with a massive gastrointestinal hemorrhage. Through this case of a 63-year-old woman, we would like to highlight the paucity of literature in the treatment of nonbleeding cecal varices.

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Figures

Figure 1.
Figure 1.
Abdominal and thoracic computed tomography with contrast showing luminal narrowing noted in the cecum, which may represent a mass in this region. There is an associated soft-tissue density anterior to the inferior vena cava which measures approximately 1.8 cm in greatest dimension and may represent a lymph node or soft-tissue mass. There are surrounding inflammatory changes which can be seen with desmoplastic reaction with carcinoid tumor.
Figure 2.
Figure 2.
(A and B) Colonoscopy showing large nonbleeding cecal and ascending colon varices along with numerous polyps in the ascending and transverse colon.
See this image and copyright information in PMC

References

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