Isolated varices over hepatic flexure colon indicating superior mesenteric venous thrombosis caused by uncinate pancreatic head cancer--a case report.
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.
Ho
Yu-Pin
YP
Department of Gastroenterology, Radiology, Linkou Medical Center, Chang Gung Memorial Hospital, 5 Fushin Street, Kweishan, Taoyuan, Taiwan, China.
Lin
Chun-Jung
CJ
Su
Ming-Yao
MY
Tseng
Jeng-Hwei
JH
Chiu
Cheng-Tang
CT
Chen
Pang-Chi
PC
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