Atypical Endoscopic Appearance of a Rare Cause of Gastrointestinal Bleeding: Superior Mesenteric Vein Occlusion Causing Colon Varices.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-04-30 eCollection Date: 2025-05-01 DOI:10.14309/crj.0000000000001680

Misha Gautam, Vinay Jahagirdar, Kimia Zoraghchi, Thomas Cunningham, Mohamed Ahmed, Ben Aziz, Nathan Saucier, John P Campbell

引用次数: 0

Abstract

Colonic varices (CV) are an uncommon cause of gastrointestinal bleeding, with an incidence of only 0.07%. We present a case of a 34-year-old woman with chronic superior mesenteric vein occlusion after pancreatoduodenectomy, leading to diffuse colonic varices with an atypical appearance needing further evaluation. Subsequent angiography confirmed CV, which were treated with catheter-based superior mesenteric vein stenting and variceal coiling. The patient's bleeding was controlled, with plans for continued surveillance. This case emphasizes the diagnostic challenges, treatment complexities, and the need for individualized management strategies for CV, highlighting the urgent need for established guidelines.

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肠系膜上静脉阻塞引起结肠静脉曲张是一种罕见的消化道出血的不典型内窥镜表现。

结肠静脉曲张（CV）是一种罕见的消化道出血原因，发生率仅为0.07%。我们报告一例34岁女性，在胰十二指肠切除术后出现慢性肠系膜上静脉阻塞，导致弥漫性结肠静脉曲张，其外观不典型，需要进一步评估。随后的血管造影证实CV，采用导管为基础的肠系膜上静脉支架置入术和静脉曲张盘绕术治疗。病人的出血得到了控制，并计划继续进行监测。这个病例强调了诊断的挑战，治疗的复杂性，以及对CV个性化管理策略的需求，强调了建立指南的迫切需要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.