Recurrent massive haemorrhage from an endoscopically inevident isolated rectal varix

Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver
C AzarA I Sharara

Abstract

Anorectal varices are identified endoscopically in up to 40% of patients with liver cirrhosis [Misra SP, Dwivedi M, Misra V. Prevalence and factors influencing haemorrhoids, anorectal varices, and colopathy in patients with portal hypertension. Endoscopy 1996;28:340-5] but are an infrequent cause of bleeding and their management remains controversial. We present a patient with chronic hepatitis C virus infection who developed recurrent haemorrhage from an isolated, endoscopically inevident rectal varix in the absence of clinical or endoscopic evidence of portal hypertension. The difficulties in diagnosis and management of anorectal varices are highlighted.

References

Nov 1, 1984·Diseases of the Colon and Rectum·J S WaxmanM Waxman
Mar 17, 2006·Hepatology Research : the Official Journal of the Japan Society of Hepatology·Takahiro SatoToshihiro Suga

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Citations

Jun 20, 2013·Gastroenterology Research and Practice·Malay SharmaRaghav Bansal
Sep 22, 2007·Current Opinion in Pediatrics

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