One case of rupture and bleeding of ectopic varicose veins in the colon due to cirrhotic portal hypertension
10.3760/cma.j.cn431274-20250303-00281
- VernacularTitle:肝硬化门静脉高压结肠异位静脉曲张破裂出血1例
- Author:
Xingxing XING
1
;
Juying YU
1
;
Yuliang JI
1
;
Xiang WU
1
Author Information
1. 嘉兴大学附属新安国际医院消化内科，嘉兴 314000
- Publication Type:Journal Article
- Keywords:
Liver cirrhosis;
Portal hypertension;
Rupture and bleeding of ectopic varicose veins
- From:
Journal of Chinese Physician
2025;27(4):517-519
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical characteristics, diagnostic difficulties and optimization direction of treatment strategies of ectopic varicose veins rupture and bleeding in the colon of cirrhotic portal hypertension.Methods:A retrospective analysis was conducted on the clinical data of a patient with cirrhotic portal hypertension and ectopic varicose rupture and bleeding of the colon diagnosed clinically in the Department of Gastroenterology of the Xin′an International Hospital Affiliated to Jiaxing University in February 2025. Combined with the review of relevant literature, the diagnosis and treatment experience was summarized.Results:The patient was diagnosed by colonoscopy with rupture and bleeding of varicose veins in the descending colon, and the blood vessels were exposed.After hemostasis with tissue clips under emergency colonoscopy and the bleeding stopped, drug treatment for bleeding prevention was continued. Sequential endoscopic EcV treatment was planned to be scheduled at an alternative time.Conclusions:The incidence of rupture and bleeding of ectopic varicose veins in the colon due to cirrhotic portal hypertension is relatively low. The diagnosis is difficult, the risk of bleeding is high, and the treatment strategies are controversial. It is necessary to further optimize the diagnosis and treatment strategies in order to improve the therapeutic effect of patients.
