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Familial colonic varices — a cause of "polyposis" on barium enema

Departments of ¹ Gastroenterology and ² Clinical Radiology, Nottingham City Hospital, Hucknall Road, Nottingham, NG7 1PB, UK

View larger version (147K): [in this window] [in a new window]   Figure 1. A prone view from the double contrast barium enema with a magnified view of the transverse colon. Solid arrows demonstrate"masses" indenting the bowel wall, misinterpreted as polyps. Open arrows point to the numerous serpiginous impressions in the barium, representing extensive varices.

View larger version (75K): [in this window] [in a new window]   Figure 2. Views of the colonic varices obtained at colonoscopy.

View larger version (153K): [in this window] [in a new window]   Figure 3. Local detail from a digital spot image of the sigmoid, including part of the transverse colon. Solid arrows demonstrate"masses" indenting the bowel wall, misinterpreted as polyps. Open arrows point to the numerous serpiginous impressions in the barium, representing extensive varices.