Ectopic varices: report of 2 cases and literature review

VernacularTitle:异位静脉曲张出血二例并文献报道127例临床分析
Author: Zhen HU ; Suyan CAO ; Xinchao ZHANG
Keywords: Gastrointestinal hemorrhage; Liver cirrhosis; Varices,ectopic
From: Chinese Journal of General Practitioners 2017;16(4):307-309
CountryChina
Language:Chinese
Abstract: Two cases of ectopic varices(EV) admitted in our hospital were reported.According to literature search from Wanfang Data and China National Knowledge Infrastructure 127 cases of ectopic varices were reported in mainland China.Among 129 cases there were 93 males and 36 females,with a mean age of (54.4 ± 7.2) years.The most common cause of EV was portal hypertension with cirrhosis (n =104,80.6％).The common manifestations of EV were melena (35.7％) and hematemesis (18.6％).The diagnosis was confirmed by endoscopy in 100 cases(77.5％),by surgery in 16 cases(12.4％),and by angiography in 13 cases(10.1％).The sites of EV lesions included duodenum (n =52,40.3％),rectum (n =34,26.4％),and jejunum or ileum (n =13,10.1％).Among 129 EV patients,4(3.1％)died and 125(96.9％)survived.Analysis indicates that most ectopic varices are secondary to portal hypertension of cirrhosis,and ectopic varices account for a certain percentage of all gastrointestinal hemorrhage.