Ileocecal Mesentery Arteriovenous Malformation as a Rare Cause of Ectopic Variceal Bleeding in a 58-Year-Old Male With Cirrhosis.
Westside Regional Medical Center
alcoholic cirrhosis, complications of cirrhosis, diagnosis of ectopic varices, ectopic varices, retroperitoneal hematoma, ruptured arteriovenous malformation
Digestive System Diseases | Internal Medicine | Medicine and Health Sciences
Ectopic varices can be defined as dilated portosystemic venous collaterals that are located at a site other than the esophagus or stomach. These varices can be seen in patients with underlying portal hypertension, but bleeding from them is quite rare. The bleeding usually occurs in patients with a history of intra-abdominal surgery and adhesions. These varices are commonly found in the duodenum or rectum, but they can be present anywhere along the gastrointestinal tract. Currently, there are no well-established guidelines regarding the diagnosis and management of these variceal bleeds, and further investigations with randomized controlled or large-scale trials are required. Here, we report an unusual case of ectopic variceal bleeding from an ileal arteriovenous malformation (AVM), which presented as syncope associated with an acute abdomen in a patient with no prior history of intra-abdominal surgery.
Publisher or Conference
Santiago LE, Alvi AT, Hong AM, Pasarin A, Aneja P. Ileocecal Mesentery Arteriovenous Malformation as a Rare Cause of Ectopic Variceal Bleeding in a 58-Year-Old Male With Cirrhosis. Cureus. 2023;15(9):e45785. Published 2023 Sep 22. doi:10.7759/cureus.45785