{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T10:13:00Z","timestamp":1788603180436,"version":"build-2803163510"},"reference-count":0,"publisher":"Greater Baltimore Medical Center","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Community Hospital Internal Medicine Perspectives"],"abstract":"<jats:p>Background: Colonic varices(CV) remain an extremely rare condition, the usual cause of which is portal hypertension due to liver disease, chronic pancreatitis or malignancy. Here we present a case of familial idiopathic CV in a middle-aged female, complicated by a polyp removal during colonoscopy.\nCase Presentation: A 57-year-old female with a past medical history of 5 months of melena, polyps and hemorrhoids diagnosed with idiopathic CV during diagnostic colonoscopy. She had no prior history of liver disease, pancreatic disease, non-steroidal anti-inflammatory drugs (NSAID) use, or blood thinner use. She was later found to have a family history of the condition.\nConclusion: The rarity of this case is of particular concern for clinicians due to its life threatening complication of severe lower gastrointestinal bleed - a true medical emergency. This is particularly difficult in the absence of usual predisposing triggers. Differential diagnoses should be considered in patients that present with rectal bleeding of unknown cause.<\/jats:p>","DOI":"10.55729\/2000-9666.1473","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T02:08:52Z","timestamp":1746583732000},"page":"103-107","source":"Crossref","is-referenced-by-count":0,"title":["It Runs in the Family: A Rare Case of Familial Idiopathic Colonic Varices"],"prefix":"10.55729","volume":"15","author":[{"given":"Rakahn","family":"Haddadin","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, HCA Healthcare; MountainView Hospital, Las Vegas, NV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozoemena","family":"Akah","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, HCA Healthcare; MountainView Hospital, Las Vegas, NV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Ameen","sequence":"additional","affiliation":[{"name":"Ross University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Trad","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, HCA Healthcare; Southern Hills Hospital, Las Vegas, NV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Ryan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, HCA Healthcare; Southern Hills Hospital, Las Vegas, NV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hatim","family":"Gemil","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, HCA Healthcare; MountainView Hospital, Las Vegas, NV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"34701","published-online":{"date-parts":[[2025,5,5]]},"container-title":["Journal of Community Hospital Internal Medicine Perspectives"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/scholarlycommons.gbmc.org\/cgi\/viewcontent.cgi?article=1473&amp;context=jchimp","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T09:55:26Z","timestamp":1788602126000},"score":1,"resource":{"primary":{"URL":"https:\/\/scholarlycommons.gbmc.org\/jchimp\/vol15\/iss3\/19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,5]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,5,5]]}},"URL":"https:\/\/doi.org\/10.55729\/2000-9666.1473","relation":{},"ISSN":["2000-9666"],"issn-type":[{"value":"2000-9666","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,5]]}}}