Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension

Idiopathic non-cirrhotic portal hypertension (INCPH) is portal hypertension (PHT) without cirrhosis and other identifiable causes. Esophageal and gastric varices are seen in INCPH which are mostly asymptomatic. We present a rare case of symptomatic isolated gastric varices (IGV) in the setting of IN...

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Autores principales: Choksi, Vivek, Chokshi, Binna, Chu, Andrew, Mandale, Deepa, Wolfson, Daniel L, Kaplan, Steven, Feiz, Hamid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Oncology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438232/
https://www.ncbi.nlm.nih.gov/pubmed/28533996
http://dx.doi.org/10.7759/cureus.1179
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author Choksi, Vivek
Chokshi, Binna
Chu, Andrew
Mandale, Deepa
Wolfson, Daniel L
Kaplan, Steven
Feiz, Hamid
author_facet Choksi, Vivek
Chokshi, Binna
Chu, Andrew
Mandale, Deepa
Wolfson, Daniel L
Kaplan, Steven
Feiz, Hamid
author_sort Choksi, Vivek
collection PubMed
description Idiopathic non-cirrhotic portal hypertension (INCPH) is portal hypertension (PHT) without cirrhosis and other identifiable causes. Esophageal and gastric varices are seen in INCPH which are mostly asymptomatic. We present a rare case of symptomatic isolated gastric varices (IGV) in the setting of INCPH. We report a case of a 60-year-old man who presented with an acute onset of hematemesis and no identifiable history. Upon further evaluation, he was found to have non-bleeding dilated gastric varices on esophagogastroduodenoscopy (EGD) and PHT without cirrhosis. Our patient is unique because he has symptomatic IGV and INCPH.
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spelling pubmed-54382322017-05-22 Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension Choksi, Vivek Chokshi, Binna Chu, Andrew Mandale, Deepa Wolfson, Daniel L Kaplan, Steven Feiz, Hamid Cureus Oncology Idiopathic non-cirrhotic portal hypertension (INCPH) is portal hypertension (PHT) without cirrhosis and other identifiable causes. Esophageal and gastric varices are seen in INCPH which are mostly asymptomatic. We present a rare case of symptomatic isolated gastric varices (IGV) in the setting of INCPH. We report a case of a 60-year-old man who presented with an acute onset of hematemesis and no identifiable history. Upon further evaluation, he was found to have non-bleeding dilated gastric varices on esophagogastroduodenoscopy (EGD) and PHT without cirrhosis. Our patient is unique because he has symptomatic IGV and INCPH. Cureus 2017-04-19 /pmc/articles/PMC5438232/ /pubmed/28533996 http://dx.doi.org/10.7759/cureus.1179 Text en Copyright © 2017, Choksi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Oncology
Choksi, Vivek
Chokshi, Binna
Chu, Andrew
Mandale, Deepa
Wolfson, Daniel L
Kaplan, Steven
Feiz, Hamid
Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension
title Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension
title_full Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension
title_fullStr Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension
title_full_unstemmed Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension
title_short Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension
title_sort gastric varices in absence of splenic vein thrombosis: a rare entity of idiopathic non-cirrhotic portal hypertension
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438232/
https://www.ncbi.nlm.nih.gov/pubmed/28533996
http://dx.doi.org/10.7759/cureus.1179
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