An Unusual Cause of Lower Gastrointestinal Bleeding

Question: A 44-year-old woman with known decompensated alcohol-related cirrhosis and portal hypertension presented with a single day history of painless bleeding per rectum. Her medical history was unremarkable beyond the chronic liver disease, but had disease-related complications of ascites, esophageal varices managed prophylactically through a banding eradication program, hepatic encephalopathy, and a prior episode of steroid-responsive...