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Masswe Colonic Haemorrhage from a Solitary Caecal Varix
Author(s) -
K. R. L. Shaper,
Michael Jarmulowicz,
Robert Dick,
N. D. Cuthbert,
Brian R Davidson
Publication year - 1996
Publication title -
hpb surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.561
H-Index - 26
eISSN - 1607-8462
pISSN - 0894-8569
DOI - 10.1155/1996/65719
Subject(s) - medicine , varix , portal hypertension , varices , laparotomy , lower gastrointestinal bleeding , caecum , gastrointestinal tract , varicose veins , gastrointestinal bleeding , gastroenterology , surgery , general surgery , colonoscopy , colorectal cancer , cirrhosis , cancer
A 51 year old lady with chronic active hepatitis presented with massive lower gastrointestinal tract bleeding. Angiography demonstrated a solitary varix in the caecum which was found at laparotomy to be entering the bowel wall at the site of adhesion from a previous appendicectomy. The portal pressure was found to be raised. A right hemicolectomy stopped the blood loss, but she subsequently died of liver failure. Solitary colonic varices associated with adhesions are extremely rare and their optimal management has not been established.

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