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Related Experiment Video

Updated: Apr 29, 2026

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Isolated non-hemorrhagic cecal varices.

James D Haddad1, Brent W Lacey2

  • 1Department of Internal Medicine Naval Medical Center, San Diego, CA, USA and Department of Gastroenterology, Naval Medical Center, San Diego, CA, USA james.haddad@med.navy.mil.

Gastroenterology Report
|May 24, 2014
PubMed
Summary
This summary is machine-generated.

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This case study highlights rare isolated cecal varices in a young male with portal hypertension. Imaging confirmed the diagnosis, offering insights into this uncommon presentation of ectopic varices.

Area of Science:

  • Gastroenterology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Ectopic varices, rare outside the gastro-esophageal region, are an uncommon cause of variceal bleeding in patients with portal hypertension.
  • Isolated cecal varices are exceptionally rare, often presenting with acute or occult gastrointestinal bleeding.

Observation:

  • A 29-year-old male with idiopathic portal vein thrombosis and known esophageal varices presented with abdominal pain.
  • Endoscopy revealed isolated cecal varices without evidence of bleeding or varices elsewhere in the colon.
  • Abdominal pain was the primary symptom, with no active hemorrhage noted during examination.

Findings:

  • Endoscopic findings were confirmed by endoscopic ultrasound and computed tomography.
  • Imaging modalities were crucial in establishing the diagnosis and understanding the natural history of these unusual varices.
Keywords:
cecal varicesendoscopic ultrasoundportal vein thrombosis

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  • The case demonstrates cecal varices presenting without active bleeding, contrasting with typical presentations.

    • Implications:

    • This case expands the understanding of ectopic variceal presentations in portal hypertension.
    • It underscores the utility of advanced imaging in diagnosing and characterizing rare gastrointestinal vascular anomalies.
    • Further research into the natural history and management of isolated cecal varices may be warranted.