Abstract

Sigmoid Ectopic Varix Complicating Primitive Biliary Cholongitis Treated by Sclerotherapy

Highlights

  • Ectopic varices are large portosystemic venous collaterals occurring anywhere in the abdomen outside the oeso-cardial region

  • We report the case of a sigmoid ectopic varix in a patient with primary biliary cirrhosis successfully treated with sclerotherapy

  • A study has estimated that whatever the etiology, ectopic colic varices have an incidence of only 0.07% [3]

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Summary

Introduction

Ectopic varices are large portosystemic venous collaterals occurring anywhere in the abdomen outside the oeso-cardial region. They can be located in the small intestine, colon, rectum and enterostomies. We report the case of a sigmoid ectopic varix in a patient with primary biliary cirrhosis successfully treated with sclerotherapy. Colonoscopy, on the other hand, revealed the presence of an ectopic varix at 30cm of the anal margin (Figure 1), the rest of the colonic mucosa was normal. The patient reported intermittent rectal bleeding of low abundance starting 3 months before her admission. Since the intervention and during a 24-month follow-up; the patient did not report any new episode of rectal bleeding

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