title: Colonic Varices Due to Chronic Pancreatitis: A Rare Cause of Lower Gastrointestinal Bleeding.
abstract: A 75-year-old man with chronic pancreatitis presented with painless bloody stool. Computed tomography revealed a splenic vein occlusion with several collaterals towards the descending colon. Colonoscopy showed tortuous varices in the descending colon, which suggested recent bleeding. Sinistral portal hypertension (SPH) due to chronic pancreatitis was diagnosed, so splenectomy and distal pancreatectomy were performed. Our case illustrates a rare complication of SPH.
authors.affiliation: Department of Gastroenterology, Sapporo Kosei General Hospital, Sapporo, Japan.
authors.forename: Sho
authors.initials: S
authors.lastname: Kitagawa
authors.affiliation: Department of Gastroenterology, Sapporo Kosei General Hospital, Sapporo, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Sato
authors.affiliation: Department of Gastroenterology, Sapporo Kosei General Hospital, Sapporo, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Hirayama