Rectal varices are reported in about 38% to 94% of patients with portal hypertension1; however, they presentwith significant bleeding in fewer than 5% of patients.2The current treatment options for bleeding rectal varicesinclude endoscopic injection sclerotherapy (EIS),endoscopic band ligation,2 transjugular intrahepaticportosystemic shunt placement, balloon-occluded retrograde transvenous obliteration,3 and cyanoacrylate alone4or a combination of cyanoacrylate and coils.5 We report acase of rectal variceal bleeding managed with EUS-guidedcoiling alone.
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