This 54-year-old white male patient was diagnosed with an extensive malignant gastrointetinal stromal tumor in the upper abdomen. He underwent a left pancreatic resection, splenectomy, partial colectomy and partial resection of the small bowel. Four years later, he was admitted with acute lower gastrointestinal bleeding. He was found to suffer from recurrent malignant disease as well as extensive varicosis in the residual colon, which was also the source of the bleeding.
The video begins slightly proximal to the cecum. There is extensive varicosis with a rupture site. The rupture site was treated with histoacryl and thrombosed. Upon withdrawal of the endoscope it is notes that there are no varices in the lower remaining colon segments.
Cause of the varices was compression of the vessels secondary to extensive tumor formations in the entire abdominal cavity. The patient was referred for chemotherapy. At a follow-up colonoscopy two days later, the varix treated with histoacryl was hard and the rupture site was recognizable by the presence of a solid clot.