Abstract Ectopic varices (EV) in the jejunum are a rare vascular disorder which is associated with portal hypertension (5%). It is even rarer when it occurs without associated portal hypertension.We report a case of a patient without portal hypertension who had had chronic intestinal bleeding from va -rices located in the proximal jejunum for several years. We report the patient’s clinical development, elements used for diagnosis and the surgical treatment. Keywords Portal hypertension, jejunal varices, occult and obscure intestinal bleeding. INTRODUCTION Obscure intestinal bleeding is defined as bleeding that persists or recurs without any etiology obvious through diagnostic colonoscopy and upper endoscopy. It can be obvious when the patient and the clinician see evidence of bleeding, or it can be hidden and unnoticed by both the clinician and the patient until laboratory test results show that it is present (1, 15).Lower intestinal bleeding primarily affects people over the age of 65. The annual incidence in the third decade of life is 1 per 100,000, but it can reach 200 per 100,000 people in the ninth decade. Some studies show that 70% of all patients have at least one coexisting illness (3, 9, 14).One laboratory test that can help diagnose bleeding is a blood urea nitrogen (BUN) test which can show whether there is any bleeding and the reason for the bleeding. When the test shows a creatinine ratio greater than 33 in patients with no history of chronic or acute renal disease, it indi-cates that the location of the bleeding is high or in the small intestine but is not in the colon (9, 10).Approximately 5% of intestinal bleeding occurs between the ligament of Treitz and the ileocecal valve. Vascular lesions account for 40% of the causes of bleeding and of these angiectasis and angiodysplasias these are the most common causes in elderly patients. Less frequent causes include aortoenteric vascular fistulas, hemobilia, pancre-atic hemosuccus and varicose veins in the small intestine. Other causes include damage due to NSAIDs and tumors (1, 2, 4, 6-8, 14, 15).With the advent of new techniques such as capsule endoscopy and enteroscopy, the tendency is to redefine the general intestinal bleeding and obscure intestinal bleeding into three categories: upper, middle and lower bleeding instead of the two traditional high and low bleeding.Bleeding originating above the ampulla of Vater is upper bleeding. Bleeding originating between the ampulla of vater and the ileum is defined as middle bleeding. It is best investigated by capsule endoscopy or double-balloon push-and-pull enteroscopy. Bleeding originating in the colon is defined as lower bleeding and is evaluated by colonoscopy (1, 2).