Unusual Location of Varices Presenting with Obscure Gastrointestinal Bleeding: A Case Report

Farhad Zamani, Masoudreza Sohrabi, Khadijeh Hatami, Masoud Baghai-Vaji, Hossein Ajdarkosh


Esophagogastric varices are a frequent complication of portal hypertension. Bleeding from ectopic varices of the ileum is not only life-threatening, but its accurate diagnosis is also difficult. We have presented the case of a 31-year-old man with massive hematochezia. He was a known case of non-cirrhotic portal hypertension since 15 years prior. Conventional examination that included angiography did not define the site of bleeding. Hence, the patient underwent an intraoperative enteroscopy. The varices were located at the distal part of the ileum. Segmental resection of the ileum was performed and the patient was discharged in good condition seven days later. Intraoperative enteroscopy could be considered in the diagnostic and therapeutic management of ectopic varices.


Ileal varices; Portal hypertension; Intraoperative enteroscopy

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