Public Health and Primary CareCase Report

A Case of Idiopathic Colonic Varices

Matthew V. Speicher, OMS IV; Michael T. Keegan, MD; and Kathryn E. Kirk, MD
Notes and Affiliations
Notes and Affiliations

Received: May 14, 2013

Accepted: July 26, 2013

Published: January 1, 2014

J Osteopath Med; 114(1): 56-59

Colonic varices, usually detected by means of colonoscopy, are extremely rare and typically indicative of portal hypertension or chronic hepatopathology. Even more rare are those cases with no underlying disease, or idiopathic colonic varices. The authors report a case of these unexplained varices found during colonoscopy of a 30-year-old man with a 10-year history of diarrhea and occasional bloody stool. A thorough workup was performed, revealing no underlying abnormalities for his varices. Additionally, the authors review the literature of this rare diagnosis. Physicians must rule out hepatic, vascular, and cardiac causes before classifying a case of varices as idiopathic.

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