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Idiopathic mesenteric varices causing lower gastrointestinal bleeding

D Schilling1, M Maier, B Kohler

  • 1Department of Gastroenterology, Klinikum Ludwigshafen gGmbH, Germany.

European Journal of Gastroenterology & Hepatology
|February 1, 1996
PubMed
Summary
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Idiopathic mesenteric varices caused lower gastrointestinal bleeding in a young man. This rare condition, usually linked to portal hypertension, was managed conservatively with no further bleeding episodes observed.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Diagnostic Imaging

Background:

  • Lower gastrointestinal bleeding (LGIB) can stem from various causes, with mesenteric varices being a rare etiology.
  • Idiopathic mesenteric varices, not associated with portal hypertension, are exceptionally uncommon.

Observation:

  • A 25-year-old male presented with recurrent LGIB.
  • Colonoscopy identified extensive varices throughout the colon and terminal ileum.
  • Dopplersonography confirmed intravariceal blood flow, while angiography ruled out other vascular abnormalities.

Findings:

  • The patient's LGIB was attributed to idiopathic mesenteric varices.
  • No therapeutic intervention was required due to the absence of active bleeding.
  • The patient remained symptom-free for a 14-month follow-up period.

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Implications:

  • This case highlights idiopathic mesenteric varices as a potential cause of LGIB in young individuals.
  • Conservative management may be an option for selected cases without active, severe bleeding.
  • Further research into the pathogenesis and optimal management of idiopathic mesenteric varices is warranted.