Korean J Gastroenterol.  2022 Dec;80(6):281-284. 10.4166/kjg.2022.130.

Lower Gastrointestinal Bleeding from Ascending Colon Varices

Affiliations
  • 1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University School of Medicine, Goyang, Korea


Figure

  • Fig. 1 A polypoid lesion in ascending colon found during initial colonoscopy. The lesion had a central dip with reddish spot, without active bleeding.

  • Fig. 2 Abdominal and pelvic computed tomography at admission day shows markedly dilated venous structures around ascending colon (arrows), suggesting colonic varices. No sign of contrast extravasation was noted.

  • Fig. 3 Images of follow-up colonoscopy. (A) Cystic mass with submucosal light blueish color, suggesting ascending colon varix. (B) Endoscopic variceal obliteration using solutions mixed with histoacryl and lipiodol.

  • Fig. 4 Abdominal X-ray examination showing a large amount of lipiodol-mixed histoacryl remaining at the site of colonic varix.


Reference

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