title: Isolated varices over hepatic flexure colon indicating superior mesenteric venous thrombosis caused by uncinate pancreatic head cancer--a case report.
abstract: Very rare cases of varices involving right side colon were reported. Most of them were due to cirrhotic portal hypertension or other primary causes. No report case contributed to pancreatic cancer. Here, we reported a case of uncinate pancreatic cancer with the initial finding of isolated hepatic flexure colon varices. Following studies confirmed isolated varices involving hepatic flexure colon due to pancreatic cancer with occlusion of superior mesenteric vein. From this report, superior mesenteric vein occlusion caused by uncinate pancreatic head cancer should be considered as a differential diagnosis of colon varices.
authors.affiliation: Department of Gastroenterology, Radiology, Linkou Medical Center, Chang Gung Memorial Hospital, 5 Fushin Street, Kweishan, Taoyuan, Taiwan, China.
authors.forename: Yu-Pin
authors.initials: YP
authors.lastname: Ho
authors.forename: Chun-Jung
authors.initials: CJ
authors.lastname: Lin
authors.forename: Ming-Yao
authors.initials: MY
authors.lastname: Su
authors.forename: Jeng-Hwei
authors.initials: JH
authors.lastname: Tseng
authors.forename: Cheng-Tang
authors.initials: CT
authors.lastname: Chiu
authors.forename: Pang-Chi
authors.initials: PC
authors.lastname: Chen
mesh_terms: D003106:Colon / Q000098:blood supply*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary; D008642:Mesenteric Veins; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000473:pathology; D013927:Thrombosis / Q000150:complications* / Q000473:pathology; D014648:Varicose Veins / Q000209:etiology* / Q000473:pathology