Recurrent Hematochezia Due to Ileal Varices: A Case Report

Ectopic varices, specifically ileal varices, are a rare cause of gastrointestinal bleeding in cirrhotics. We present a case of a 42-year-old female with a history of cirrhosis complicated by esophageal varices and hepatic encephalopathy who initially presented with anemia in the setting of hematochezia. After several diagnostic methods, she was ultimately confirmed to have ileal varices, underwent placement of a transjugular intrahepatic portosystemic shunt (TIPS) and varix embolization, and her hematochezia resolved. This case highlights a rare presentation of ileal varices that were only discovered after extensive workup and required a mixed therapeutic approach via interventional radiology.