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  • Title: Massive colonic haemorrhage from a solitary caecal varix.
    Author: Shaper KR, Jarmulowicz M, Dick R, Cuthbert ND, Davidson BR.
    Journal: HPB Surg; 1996; 9(4):253-6. PubMed ID: 8809589.
    Abstract:
    A 51 year old lady with chronic active hepatitis presented with massive lower gastrointestinal tract bleeding. Angiography demonstrated a solitary varix in the caecum which was found at laparotomy to be entering the bowel wall at the site of adhesion from a previous appendicectomy. The portal pressure was found to be raised. A right hemicolectomy stopped the blood loss, but she subsequently died of liver failure. Solitary colonic varices associated with adhesions are extremely rare and their optimal management has not been established.
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