Extensive varices of ileocecum

Abstract

A man was admitted to our hospital because of intestinal reddish bleeding. Colonic varices were found at the cecum by colonoscopy. Angiography of the superior mesenteric artery showed that blood vessels were scant from the end of the ileum to the ascending colon. An operative view revealed the varices, but there was no trace of the ileocecal vein. This case, presenting a deficit of the ileocecal vein, indicated that the blood flow could not return via the ileocecal vein, and therefore there was an outflow through the varices to the surrounding intestine or abdominal veins. Such a case is probably unrepresented in the literature because it was caused by the total deficiency of the ileocecal vein and it was in the right colon.

Extraesophageal Varices

“…Jejunal and ileal varices are rare but should be considered in such cases because bleeding from small bowel varices can be life threatening. Small bowel varices can occur in the absence of cirrhosis when there is mesenteric or splenic vein thrombosis, congestive heart failure, and congenital vascular abnormalities such as ileocecal vein deficit causing ileocecal varices [73]. Work-up should not be terminated simply because esophageal varices are found.…”

Extensive Idiopathic Colonic Varices in a Young Patient

“…In the patient who continues to have recurrent life-threatening bleeding, as ours did, the condition must be managed surgically. There are only eight cases in the literature of patients undergoing surgery for idiopathic colonic variceal bleeding (1,5,7,(9)(10)(11)(12)(13). The definite majority undergo segmental resections at an older age.…”

Arteriovenous Malformation Causing Ileocecal Variceal Bleeding in Liver Cirrhosis: Case Report and Review of the Literature

“…2 In a review of the literatures in PubMed from 1982 to 2007, a total of 14 cases was reported as ileal variceal bleeding. 1,4,5,7,[19][20][21][22][23][24][25][26][27][28] Among these 14 cases of ileal varix, 12…”

“…1,4,5,7,19,20,[22][23][24][25][26][27] All of theses cases, bar one had operations performed. 1,4,5,7,19,20,[22][23][24][25][26][27][28] 8 cases of them had a history of previous abdominal surgery. 1,4,19,22,23,[25][26][27] There were no cases that involved AVMs.…”

“…1,4,5,7,19,20,[22][23][24][25][26][27][28] 8 cases of them had a history of previous abdominal surgery. 1,4,19,22,23,[25][26][27] There were no cases that involved AVMs. We illustrated a review of the 14 ileal variceal bleeding cases (Table 1).…”