The following case demonstrates small bowel varices
without esophago-gastric varices as an unusual cause
of gastrointestinal bleeding in a patient with chronic
The patient is a 47 year-old man who presented to the
hospital with several days of back pain and weakness.
The work-up of his symptoms revealed a L3-L4
phlegmon on MRI of the lumbar spine. A biopsy of this
lesion yielded focal nonviable bone.
Srinivasan MD, PGY-3, Sivakumar and Thaker MD, PGY-6, Gastroenterology Fellow, Kuntal
"Images in Medicine-Small Bowel Varices Without Esophago-gastric Varices: A Cause of Massive Gastrointestinal Hemorrhage,"
The Medicine Forum: Vol. 6
, Article 12.
Available at: http://jdc.jefferson.edu/tmf/vol6/iss1/12