Recurrent Hematochezia Due to Ileal Varices: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: Ectopic varices, specifically ileal varices, are a rare cause of gastrointestinal bleeding in cirrhotics. We present a case of a 42-year-old female with a history of cirrhosis complicated by esophageal varices and hepatic encephalopathy who initially presented with anemia in the setting of hematochezia. After several diagnostic methods, she was ultimately confirmed to have ileal varices, underwent placement of a transjugular intrahepatic portosystemic shunt (TIPS) and varix embolization, and her hematochezia resolved. This case highlights a rare presentation of ileal varices that were only discovered after extensive workup and required a mixed therapeutic approach via interventional radiology.
Source: Cureus
DOI: 10.7759/cureus.80479
Authors: Sabrina Ho, John Azizian, Kai Tey
Institution: University of Arizona
Language: English
Subfield: Hepatology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408358404