VARICES OF THE COLON apparently is an exceedingly rare condition. A 42 year old male, physician internist, diabetic with morbid obesity, present with rectal bleeding with dark red blood, nine months previous underwent an upper endoscopy due to melena, found reflux esophagitis with a small focus of bleeding but no esophageal varices at colonoscopy a small polyp of the sigmoid was found therefore underwent polypectomy, total protein in serum was low and liver function tests was abnormal. Since the original description of colonic varices (CV) in 1954, fewer than 100 cases have been reported in the literature. More than 75% of these cases have been due to portal hypertension. Reported causes include cirrhosis, biliary atresia, biliary sclerosis, congestive heart failure, superior mesenteric vein thrombosis, and inferior mesenteric vein thrombosis. A smaller number are of idiopathic origin.
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