Management options for rectal variceal bleeding in the setting of hepatic encephalopathy

Bleeding related to rectal varices associated with portal hypertension is rare but life‐threatening, and requires prompt treatment. We reviewed the literature for patients with this complex presentation and current recommendations, and commented on a case at our institution of a 68‐year‐old man with Child‐Pugh B alcoholic liver cirrhosis and hepatic encephalopathy who presented with profuse life‐threatening rectal variceal bleeding. Treatment...