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Volume 77 - 2014 - Fasc.2 - Letters

Rectal endometriosis mimicking rectal carcinoma

A 35-year-old office lady was admitted to our hospital complaining of intermittent constipation for 3 years. The specific symptoms such as hematochezia, abdominal pain, abdominal distention, dejecta turning small and anus distentin were not occurred. There was no previous history of trauma or surgery. She had regular menses lasted for 5-6 days every 28 day since 13-year old with- out dysmenorrhea. She gave birth to a healthy daughter several years agO. and neither abortion nor omotocia was done.


A rare cause of ischemic colitis : colonoscopy

Ischemic colitis is the most common form of ischemic injury to the gastrointestinal tract representing more than half of the patients with gastrointestinal ischemia. There are many causes of ischemic colitis such as mesenteric artery embolism, thrombosis or colonic hypo-perfusion but colonoscopy-related ischemic colitis are quite rare and has been reported with only eight cases in the litera- ture to date (1-6). Here we present case of ischemic coli- tis following colonoscopy in a patient with no risk factors for ischemic colitis.


An unusual case of ectopic variceal bleeding treated with percutaneous inter- vention

Variceal bleeding is one of the important complica- tions of portal hypertension. Ectopic variceal bleeding is a rare condition and is approximately only % 1-5 of all variceal bleedings (1). Ectopic varices can bleed severely and bleeding origin could not be detected with endoscop- ic examinations. Ectopic varices have been reported to develop in various organs such as duodenum, colon, gall- bladder, uterus, vagina, urinary bladder, and peritoneum or at the sites of previous bowel surgery including stomas and trans-anastomotic porto-portal varices (2). However ileal varices between superficial varices on abdominal wall and mesenterica superior branch have not been known after cesarean operation. In our case ectopic varices were seen at cesarean section region which super- ficial venous collateral link to ileal varices due to portal hypertension. Our case also was successfully treated with percutaneous coil embolization and glue injection using venous approach.