Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis

Essential thrombocytosis is associated with gastrointestinal (GI) vascular thrombosis. Sinistral portal hypertension (left-sided portal hypertension) due to splenic vein thrombosis can lead to isolated gastric varices and should be suspected in a patient with obscure GI bleeding with normal liver fu...

Descripción completa

Detalles Bibliográficos
Autores principales: Patel, Harish, Bhandari, Peter, Kumar, Kishore, Makker, Jasbir, Chandrala, Chaitanya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Gastroenterology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890150/
https://www.ncbi.nlm.nih.gov/pubmed/31827997
http://dx.doi.org/10.7759/cureus.6068
_version_ 1783475552571621376
author Patel, Harish
Bhandari, Peter
Kumar, Kishore
Makker, Jasbir
Chandrala, Chaitanya
author_facet Patel, Harish
Bhandari, Peter
Kumar, Kishore
Makker, Jasbir
Chandrala, Chaitanya
author_sort Patel, Harish
collection PubMed
description Essential thrombocytosis is associated with gastrointestinal (GI) vascular thrombosis. Sinistral portal hypertension (left-sided portal hypertension) due to splenic vein thrombosis can lead to isolated gastric varices and should be suspected in a patient with obscure GI bleeding with normal liver function. This case reviews the challenges presented in diagnosing isolated gastric varices due to splenic vein thrombosis through radiologic or endoscopic studies. Unrevealing radiologic or endoscopic studies does not rule out splenic vein thrombosis, which should be suspected in a patient with essential thrombocytosis and obscure GI bleeding.
format Online
Article
Text
id pubmed-6890150
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-68901502019-12-11 Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis Patel, Harish Bhandari, Peter Kumar, Kishore Makker, Jasbir Chandrala, Chaitanya Cureus Gastroenterology Essential thrombocytosis is associated with gastrointestinal (GI) vascular thrombosis. Sinistral portal hypertension (left-sided portal hypertension) due to splenic vein thrombosis can lead to isolated gastric varices and should be suspected in a patient with obscure GI bleeding with normal liver function. This case reviews the challenges presented in diagnosing isolated gastric varices due to splenic vein thrombosis through radiologic or endoscopic studies. Unrevealing radiologic or endoscopic studies does not rule out splenic vein thrombosis, which should be suspected in a patient with essential thrombocytosis and obscure GI bleeding. Cureus 2019-11-04 /pmc/articles/PMC6890150/ /pubmed/31827997 http://dx.doi.org/10.7759/cureus.6068 Text en Copyright © 2019, Patel 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 Gastroenterology
Patel, Harish
Bhandari, Peter
Kumar, Kishore
Makker, Jasbir
Chandrala, Chaitanya
Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis
title Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis
title_full Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis
title_fullStr Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis
title_full_unstemmed Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis
title_short Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis
title_sort isolated gastric varices due to essential thrombocytosis related to splenic vein thrombosis: a challenge to uncover the concealed diagnosis
topic Gastroenterology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890150/
https://www.ncbi.nlm.nih.gov/pubmed/31827997
http://dx.doi.org/10.7759/cureus.6068
work_keys_str_mv AT patelharish isolatedgastricvaricesduetoessentialthrombocytosisrelatedtosplenicveinthrombosisachallengetouncovertheconcealeddiagnosis
AT bhandaripeter isolatedgastricvaricesduetoessentialthrombocytosisrelatedtosplenicveinthrombosisachallengetouncovertheconcealeddiagnosis
AT kumarkishore isolatedgastricvaricesduetoessentialthrombocytosisrelatedtosplenicveinthrombosisachallengetouncovertheconcealeddiagnosis
AT makkerjasbir isolatedgastricvaricesduetoessentialthrombocytosisrelatedtosplenicveinthrombosisachallengetouncovertheconcealeddiagnosis
AT chandralachaitanya isolatedgastricvaricesduetoessentialthrombocytosisrelatedtosplenicveinthrombosisachallengetouncovertheconcealeddiagnosis

Ejemplares similares