Varices
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Varices
A varix (pl. varices) is an abnormally dilated vessel with a tortuous course. Varices usually occur in the venous system, but may also occur in arterial or lymphatic vessels. Examples of varices include: * Varicose veins, large tortuous veins usually found on legs * Sublingual varices * Esophageal varices, commonly stemming from cirrhosis of the liver, also known as oesophageal varicose * Gastric varices, commonly stemming from cirrhosis of the liver * Intestinal varices * Scrotal varices * Vulvar varices * Pelvic varices * Vesical varices, varicose veins associated with the urinary bladder * Rectal varices, which can be similar to external haemorrhoids See also * Varicose ulcer * Varix (mollusc) A varix () is an anatomical feature of the shell of certain sea snails, marine gastropod molluscs. Gastropods whose shells have varices are primarily families and species within the taxonomic groups Littorinimorpha and Neogastropoda. The va ... References {{Reflist Diseases of ...
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Gastric Varices
Gastric varices are dilated submucosal veins in the lining of the stomach, which can be a life-threatening cause of bleeding in the upper gastrointestinal tract. They are most commonly found in patients with portal hypertension, or elevated pressure in the portal vein system, which may be a complication of cirrhosis. Gastric varices may also be found in patients with thrombosis of the splenic vein, into which the short gastric veins that drain the fundus of the stomach flow. The latter may be a complication of acute pancreatitis, pancreatic cancer, or other abdominal tumours, as well as hepatitis C. Gastric varices and associated bleeding are a potential complication of schistosomiasis resulting from portal hypertension. Patients with bleeding gastric varices can present with bloody vomiting (hematemesis), dark, tarry stools ( melena), or rectal bleeding. The bleeding may be brisk, and patients may soon develop shock. Treatment of gastric varices can include injection of t ...
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Esophageal Varices
Esophageal varices are extremely dilated sub-mucosal veins in the lower third of the esophagus. They are most often a consequence of portal hypertension, commonly due to cirrhosis. People with esophageal varices have a strong tendency to develop severe bleeding which left untreated can be fatal. Esophageal varices are typically diagnosed through an esophagogastroduodenoscopy. Pathogenesis The upper two thirds of the esophagus are drained via the esophageal veins, which carry deoxygenated blood from the esophagus to the azygos vein, which in turn drains directly into the superior vena cava. These veins have no part in the development of esophageal varices. The lower one third of the esophagus is drained into the superficial veins lining the esophageal mucosa, which drain into the left gastric vein, which in turn drains directly into the portal vein. These superficial veins (normally only approximately 1 mm in diameter) become distended up to 1–2 cm in diameter in as ...
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Rectal Varices
Anorectal varices are the dilation of collateral submucosal vessels due to backflow in the veins of the rectum. Typically this occurs due to portal hypertension which shunts venous blood from the portal system through the portosystemic anastomosis present at this site into the systemic venous system. This can also occur in the esophagus, causing esophageal varices, and at the level of the umbilicus, causing caput medusae. Between 44% and 78% of patients with portal hypertension get anorectal varices. Signs and symptoms Pathogenesis Blood from the superior portion of the rectum normally drains into the superior rectal vein and via the inferior mesenteric vein to the liver as part of the portal venous system. Blood from the middle and inferior portions of the rectum is drained via the middle and inferior rectal veins. In portal hypertension, venous resistance is increased within the portal venous system; when the pressure in the portal venous system increases above that of the sy ...
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Varix (mollusc)
A varix () is an anatomical feature of the shell of certain sea snails, marine gastropod molluscs. Gastropods whose shells have varices are primarily families and species within the taxonomic groups Littorinimorpha and Neogastropoda. The varix is a thickened axial ridge, a subcylindrical protrusion, in the shell which exists in some families of marine gastropods. It is an important shell character in generic classification. A varix is located at intervals around the whorl, and is formed by considerable thickening of the outer lip during a resting stage in the growth of the shell. In other words, in gastropods whose shells have varices, the shells are characterised by episodic growth - the shell grows in spurts, and during the resting phase the varix forms. In many gastropod whose shells have varices, for example the Cassinae, the varix is essentially merely a thickening and swelling of the shell at that point. But in some genera within the family Muricidae, such as ''Chicoreu ...
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