Gallbladder variceal bleeding in a patient with alcoholic cirrhosis: a rare entity

An Unusual Case of Gastrointestinal Bleeding from Isolated Gallbladder Varices in a Patient with Pancreatic Cancer Complicated by Portal Biliopathy

“…Among complications of PB, obstructive syndrome with its consequences is more specific for CBD varices, while gallbladder varices can be complicated by bleeding and even rupture [ 23 ]. Bleeding from the gallbladder varices can occur either to the peritoneal cavity leading to a life-threatening hemoperitoneum or to the cavity of gallbladder itself leading to hemobilia and gastrointestinal bleeding [ 8 , 9 , 20 , 24 , 25 ]. In our case gallbladder varices were bleeding to the cavity of the gallbladder itself; however, the route of blood transmission emerged to be cholecystoenteric anastomosis instead of major duodenal papilla and hemobilia.…”

“…However, ectopic varices were estimated to be encountered in 12–30% in the field of portal hypertension [ 7 ]. They are usually located in the gallbladder and bile ducts where they can coexist and are usually asymptomatic [ 8 , 9 ]. Few reports have been published on this topic.…”