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Case Reports in Hepatology
Volume 2016, Article ID 2018642, 4 pages
http://dx.doi.org/10.1155/2016/2018642
Case Report

Enteroscopic Management of Ectopic Varices in a Patient with Liver Cirrhosis and Portal Hypertension

St. Vincent’s University Hospital, Dublin 4, Ireland

Received 12 April 2016; Accepted 19 July 2016

Academic Editor: Mario Pirisi

Copyright © 2016 G. A. Watson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Portal hypertension and liver cirrhosis may predispose patients to varices, which have a propensity to bleed and cause significant morbidity and mortality. These varices are most commonly located in the gastroesophageal area; however, rarely ectopic varices may develop in unusual locations outside of this region. Haemorrhage from these sites can be massive and difficult to control; thus early detection and management may be lifesaving. We present a case of occult gastrointestinal bleeding in a patient with underlying alcoholic liver disease where an ectopic varix was ultimately detected with push enteroscopy.