Abstract Text
65 year old female with steatosis associated cirrhosis of liver on beta blockers for primary prophylaxis for non bleeding small esophageal varices. She presented with painless hematochezia. After initial fluid resuscitation, intravenous terlipressin and antibiotics and blood transfusion, upper esndoscopy revealed small esophgeal varices with normal stomach. Colonoscopy done after bowel preparation showed a large colonic varix in the transverse colon with signs of recent hemorrhage. Glue was injected in 2 aliquots ( 1.5 ml each time) using sclerotherapy needle. Immediately after withdrawal of needle, bleeding started from the varix. 2 Hemoclips were applied on the bleeding colonic varix to acheive hemostasis. Post procedure, she recovered gradually with medical management with no recurrence. Followup colonoscopy done after 3 months showed resolution of varix ( Video 1)