A CASE OF RUPTURED ILEAL VARICES THAT COULD BE POINTED OUT THE EXACT BLEEDING SITE WITH ENDOSCOPIC EXAMINATION

Abstract

A 57-year-old man was emergent admitted to our hospital because of massive lower intestinal bleeding and shock state. He had undergone the abdominal operations twice. Angiographic studies showed no evidence of bleeding site, but diagnosed the ileal varices. Colonoscopy revealed extravasation from the ileal varices. Since he had received side to side anastomosis of ileocolic operation, we can performed short cut approach. We thus successfully pointed out the bleeding point of the ileal varices by endoscopic colonoscopy. Therefore, the patient underwent distal side resection of ileum and right-hemicolectomy for the ileal varices. His postoperative course was uneventful.