case_images: PMC10287515_01
case_images: (a, b) Endoscopic image with semi-circumferential lesion just above the ileocecal valve without the typical appearance of varices.
case_images: CRIGM2023-7005565.001.jpg
case_images: PMC10287515_01_CRIGM2023-7005565.001.jpg
case_images: fig1
case_images: Also, a semi-circumferential lesion just above ileocecal valve was noted which was biopsied (Figures 1(a) and 1(b)).
case_images: Abdomen CT ((a) axial and (b) coronal) showing portosystemic shunt with multiple collaterals in the right lower quadrant, in between the superior mesenteric vein and inferior vena cava (red arrows).
case_images: CRIGM2023-7005565.002.jpg
case_images: PMC10287515_01_CRIGM2023-7005565.002.jpg
case_images: fig2
case_images: However, there are large portosystemic shunts with multiple collaterals in the right lower quadrant, in between the superior mesenteric vein and inferior vena cava, with embolization coils in the right lower quadrant and no evidence of thrombosis on mesenteric or portal veins (Figures 2(a) and 2(b)).
case_images: (a, b) Endoscopic image showing the cecum after sclerotherapy (thrombin) with no evidence of active bleeding.
case_images: CRIGM2023-7005565.003.jpg
case_images: PMC10287515_01_CRIGM2023-7005565.003.jpg
case_images: fig3
case_images: He underwent a colonoscopy, which showed bleeding just above the ileocecal valve at biopsy site, which was treated with sclerotherapy (thrombin), and hemostasis was achieved (Figures 3(a) and 3(b)).