title: [Rupture of ileal varices in a type C liver cirrhosis patient: a case report].
abstract: A 74-year-old woman was admitted to our hospital with recurrent massive lower gastrointestinal bleeding. She had a history of type C liver cirrhosis and appendectomy, and had undergone endoscopic ligation of esophageal varices one year before. Three-dimensional CTA revealed ileal varices in the right lower quadrant of the abdomen. Superior mesenteric arteriography demonstrated varices at the corresponding area and collateral veins from the superior mesenteric vein to the right ovarian vein. Ileal varices were diagnosed and ileal resection was performed. At surgery, exposed vessels were present at the mucosal surface of the resected specimen and they were thought to be the origin of hemorrhage. In conclusion, bleeding from small intestinal varices, though uncommon, should be considered when the origin of melena is unidentified in a patient with liver cirrhosis.
authors: Department of Gastroenterogy, Toyota Memorial Hospital, Japan. takahisa@mail.toyota.co.jp
authors: Takahisa
authors: T
authors: Suzuki
authors: Mutsumi
authors: M
authors: Murayama
authors: Masataka
authors: M
authors: Shinoda
authors: Hitomi
authors: H
authors: Takashi
authors: Isako
authors: I
authors: Uchiyama
authors: Kazuhiro
authors: K
authors: Morise
authors: Akihisa
authors: A
authors: Usami
authors: Hideki
authors: H
authors: Tsuji
authors: Nobuhiro
authors: N
authors: Haruki
authors: Kazuhiro
authors: K
authors: Tashiro
authors: Takafumi
authors: T
authors: Ando
authors: Hidemi
authors: H
authors: Goto
mesh_terms: D000368:Aged; D005260:Female; D019698:Hepatitis C, Chronic / Q000150:complications*; D006801:Humans; D007082:Ileum / Q000098:blood supply*; D008103:Liver Cirrhosis / Q000150:complications*; D012422:Rupture, Spontaneous; D014648:Varicose Veins / Q000150:complications*