Year 2025 / Volume 117 / Number 4
Letter
Hemorrhagic shock due to ileal varices, a diagnostic challenge

219-220

DOI: 10.17235/reed.2024.10241/2024

Jorge Barajas, Carolina Delgado, Raquel Lomas, Natalia Arietti, Pedro Barrera, Olga Ramos, Julio Valle, Rafael A. Gómez,

Abstract
Gastrointestinal bleeding due to portal hypertension is a major complication in patients with cirrhosis, commonly attributed to esophagogastric varices. However, bleeding from ectopic varices accounts for 5% of variceal bleeding cases and it may occur at lower pressures than esophageal varices. Thus, ectopic varices should be considered in patients with portal hypertension that present with gastrointestinal bleeding lacking evidence of esophagogastric variceal bleeding on upper gastrointestinal endoscopy. We present the case of a patient with cirrhosis that had recurrent hemorrhagic shock due to small intestinal varices that were diagnosed via capsule endoscopy.
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Barajas J, Delgado C, Lomas R, Arietti N, Barrera P, Ramos O, et all. Hemorrhagic shock due to ileal varices, a diagnostic challenge. 10241/2024


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Publication history

Received: 05/01/2024

Accepted: 02/02/2024

Online First: 12/02/2024

Published: 03/04/2025

Article Online First time: 38 days

Article editing time: 454 days


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