Images in Medicine-Small Bowel Varices Without Esophago-gastric Varices: A Cause of Massive Gastrointestinal Hemorrhage

Authors

Sivakumar Srinivasan MD, PGY-3, Thomas Jefferson UniversityFollow
Kuntal Thaker MD, PGY-6, Gastroenterology Fellow, Thomas Jefferson UniversityFollow

Abstract

The following case demonstrates small bowel varices

without esophago-gastric varices as an unusual cause

of gastrointestinal bleeding in a patient with chronic

liver disease.

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.

Recommended Citation

Srinivasan MD, PGY-3, Sivakumar and Thaker MD, PGY-6, Gastroenterology Fellow, Kuntal (2004) "Images in Medicine-Small Bowel Varices Without Esophago-gastric Varices: A Cause of Massive Gastrointestinal Hemorrhage," The Medicine Forum: Vol. 6, Article 12.
DOI: https://doi.org/10.29046/TMF.006.1.009
Available at: https://jdc.jefferson.edu/tmf/vol6/iss1/12