Gut and Liver 2008; 2(1): 54-58 https://doi.org/10.5009/gnl.2008.2.1.54 Arteriovenous Malformation Causing Ileocecal Variceal Bleeding in Liver Cirrhosis: Case Report and Review of the Literature
Author Information
Chul Min Park*, Woon Geon Shin*, Kyung Wook Hong*, Ji Won Park*, Jin Chul Jung, Mi Jung Kwon, Dae Young Yoon§, Eun Sook Nam, and Hak Yang Kim*
Departments of *Internal Medicine, Surgery, Pathology and §Radiology, Kangdong Sacred Heart Hospital of Hallym University Medical Center, Seoul, Korea

Woon Geon Shin
© The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer. All rights reserved.

Abstract
Varices that occur at sites other than the esophagogastric area are termed ectopic varices. An ileal varix is a very rare cause of lower gastrointestinal bleeding. Although ileal varices are generally associated with prior intra-abdominal surgery and adhesions, an arteriovenous malformation (AVM) in the ileocecal area can cause ileal varices and bleeding in patients with portal hypertension who have not received previous intra-abdominal surgery, which is due to an intestinal or colonic AVM dilating the collateral veins and further aggravating portal hypertension.Surgical treatment should be considered in patients with massive ectopic variceal bleeding. We report a case of massive ileocecal variceal bleeding associated with an AVM that occurred in a patient with alcoholic liver cirrhosis. (Gut and Liver 2008;2:54-59)
Keywords: Ileocecal varix; Arteriovenous malformation; Portal hypertension
Abstract
Varices that occur at sites other than the esophagogastric area are termed ectopic varices. An ileal varix is a very rare cause of lower gastrointestinal bleeding. Although ileal varices are generally associated with prior intra-abdominal surgery and adhesions, an arteriovenous malformation (AVM) in the ileocecal area can cause ileal varices and bleeding in patients with portal hypertension who have not received previous intra-abdominal surgery, which is due to an intestinal or colonic AVM dilating the collateral veins and further aggravating portal hypertension.Surgical treatment should be considered in patients with massive ectopic variceal bleeding. We report a case of massive ileocecal variceal bleeding associated with an AVM that occurred in a patient with alcoholic liver cirrhosis. (Gut and Liver 2008;2:54-59)
Keywords: Ileocecal varix; Arteriovenous malformation; Portal hypertension
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