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Rectosigmoid Colonic Varices, Report of a Case S. Nakazawa 1 , T. Oida 1 , T. Onizuka 1 , S. Azama 1 , Y. Shimizu 1 1The Second Department of Internal Medicine, Nagoya University, School of Medicine pp.97-102
Published Date 1982/1/25
DOI https://doi.org/10.11477/mf.1403108690
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 The patient was a 30-year-old man with chief complaints of diarrhea, lower abdominal pain and bloody stool since two or three years ago. The patient admitted to our hospital, because these symptoms were aggravated. Barium enema examination was grossly abnormal showing marginal irregularity on the rectum and sigmoid colon. Double contrast picture showed cobblestone-like appearance.

 Colonoscopic findings showed multiple soft nodular elevation and no ulceration on the rectosigmoid colon. Abdominal angiography revealed the pooling of the contrast medium along the rectosigmoid colon and dilated tortous portal vein in the venous phase.

 The patient was diagnosed as prehepatic portal hypertension and colonic varices. UGI series showed varices on the esophagus and upper area of the stomach. Hartmann's method operation and proximal gastric devascularization were performed. Varices of the colon are very rare and there have been 31 additional cases in world literature.


Copyright © 1982, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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