A 51 year old lady with chronic active hepatitis presented with massive lower gastrointestinal tract bleeding. Angiography demonstrated a solitary varix in the caecum which was found at laparotomy to be entering the bowel wall at the site of adhesion from a previous appendicectomy. The portal pressure was found to be raised. A right hemicolectomy stopped the blood loss, but she subsequently die...

Colonic varices are a rare condition primarily caused by portal hypertension associated with conditions such as cirrhosis or hepatocellular carcinoma. Idiopathic cases even rarer, less than 50 pan-colonic affection reported in the literature. Males more commonly affected, an average age of 41 years. can involve entire colon idiopathic and often familial. Gastrointestinal bleeding is main sympto...

Colonoscopy was significant for diverticulosis, the presence of small nonbleeding colonic angioectasia, and a nonspecific mucosa vascular pattern in the rectosigmoid, transverse, and ascending colon consistent with varicosities (Figure 1). Biopsy revealed moderate congestion and inflammation without signs of angiodysplasia or colitis. Esophagogastroduodenoscopy did not reveal esophageal varices...

A 71-year-old woman was admitted due to recurrent lower gastrointestinal bleeding. She had undergone segmental colonic resection and adjuvant chemotherapy for colon adenocarcinoma 10 years earlier, without recurrence on follow-up. She reported experiencing several self-limited episodes of hematochezia over the past 6 months, without other symptoms. Blood tests showed iron deficiency anemia (hem...