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Idiopathic Pan-Colonic and Small-Intestine Varices

Idiopathic colonic varices represent a rare source of gastrointestinal haemorrhage with a presumed incidence around 0.0007%. Herein, we present a case of idiopathic colonic and small-intestine varices. According to our knowledge, this case report is the first description of both pan-colonic and smal...

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Autores principales: Liptak, Peter, Schnierer, Martin, Banovcin Jr., Peter, Duricek, Martin, Hyrdel, Rudolf
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341347/
https://www.ncbi.nlm.nih.gov/pubmed/30686960
http://dx.doi.org/10.1159/000495602
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author Liptak, Peter
Schnierer, Martin
Banovcin Jr., Peter
Duricek, Martin
Hyrdel, Rudolf
author_facet Liptak, Peter
Schnierer, Martin
Banovcin Jr., Peter
Duricek, Martin
Hyrdel, Rudolf
author_sort Liptak, Peter
collection PubMed
description Idiopathic colonic varices represent a rare source of gastrointestinal haemorrhage with a presumed incidence around 0.0007%. Herein, we present a case of idiopathic colonic and small-intestine varices. According to our knowledge, this case report is the first description of both pan-colonic and small-intestine idiopathic varices of this extent. A young male patient without any previous notable medical history was admitted to the hospital because of massive enterorrhagia with haemodynamic instability. Colonoscopy revealed massive pan-colonic varices. After stabilization, numerous diagnostic procedures were performed in order to investigate the aetiology of pan-colonic varices without any explanation of the patient's condition. In addition, capsule endoscopy revealed varices through the whole length of the small intestine. The final diagnosis was idiopathic varices of the colon and small intestine. Because of the rapid clinical stabilization, the single incident of haemorrhage and the extension of the disease, a conservative approach was chosen (venotonics and β-blockers). During the 12-month follow-up period, the patient reported no gastrointestinal haemorrhage.
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spelling pubmed-63413472019-01-25 Idiopathic Pan-Colonic and Small-Intestine Varices Liptak, Peter Schnierer, Martin Banovcin Jr., Peter Duricek, Martin Hyrdel, Rudolf Case Rep Gastroenterol Single Case Idiopathic colonic varices represent a rare source of gastrointestinal haemorrhage with a presumed incidence around 0.0007%. Herein, we present a case of idiopathic colonic and small-intestine varices. According to our knowledge, this case report is the first description of both pan-colonic and small-intestine idiopathic varices of this extent. A young male patient without any previous notable medical history was admitted to the hospital because of massive enterorrhagia with haemodynamic instability. Colonoscopy revealed massive pan-colonic varices. After stabilization, numerous diagnostic procedures were performed in order to investigate the aetiology of pan-colonic varices without any explanation of the patient's condition. In addition, capsule endoscopy revealed varices through the whole length of the small intestine. The final diagnosis was idiopathic varices of the colon and small intestine. Because of the rapid clinical stabilization, the single incident of haemorrhage and the extension of the disease, a conservative approach was chosen (venotonics and β-blockers). During the 12-month follow-up period, the patient reported no gastrointestinal haemorrhage. S. Karger AG 2018-12-13 /pmc/articles/PMC6341347/ /pubmed/30686960 http://dx.doi.org/10.1159/000495602 Text en Copyright © 2018 by S. Karger AG, Basel
spellingShingle Single Case
Liptak, Peter
Schnierer, Martin
Banovcin Jr., Peter
Duricek, Martin
Hyrdel, Rudolf
Idiopathic Pan-Colonic and Small-Intestine Varices
title Idiopathic Pan-Colonic and Small-Intestine Varices
title_full Idiopathic Pan-Colonic and Small-Intestine Varices
title_fullStr Idiopathic Pan-Colonic and Small-Intestine Varices
title_full_unstemmed Idiopathic Pan-Colonic and Small-Intestine Varices
title_short Idiopathic Pan-Colonic and Small-Intestine Varices
title_sort idiopathic pan-colonic and small-intestine varices
topic Single Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341347/
https://www.ncbi.nlm.nih.gov/pubmed/30686960
http://dx.doi.org/10.1159/000495602
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