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Incidental finding of colonic varices Brian W. Meeker, DO, FAAFP
Today’s Case Incidental finding of colonic varices Brian W. Meeker, DO, FAAFP
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65 year old female new to my practice. Long-term warfarin because
of a history of deep vein thrombosis. She has an inferior vena cava filter for the same thing. Prior left nephrectomy due to chronic pyelonephritis. She received a letter from the colon call back registry where she used to live Because of a history of adenomatous colon polyps and she asked me to do the Scope rather than go back.
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Does this warrant a work-up for portal hypertension?
Being anticoagulated, is she at risk to spontaneously bleed? Is any intervention required?
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A few references
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