Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma

A 59-year-old man with diffuse large B-cell lymphoma, recently diagnosed from a renal biopsy, presented to the emergency department with melena, dizziness, and epigastric pain. He was tachycardic and had a hemoglobin level of 6.4 g/dL. Esophagogastroduodenoscopy revealed isolated gastric fundal vari...

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Autores principales: Shen, Miles, Vaidya, Sarangdev, Okoronkwo, Nneoma, Alder, Edward, Ahlawat, Sushil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145224/
https://www.ncbi.nlm.nih.gov/pubmed/32309472
http://dx.doi.org/10.14309/crj.0000000000000267
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author Shen, Miles
Vaidya, Sarangdev
Okoronkwo, Nneoma
Alder, Edward
Ahlawat, Sushil
author_facet Shen, Miles
Vaidya, Sarangdev
Okoronkwo, Nneoma
Alder, Edward
Ahlawat, Sushil
author_sort Shen, Miles
collection PubMed
description A 59-year-old man with diffuse large B-cell lymphoma, recently diagnosed from a renal biopsy, presented to the emergency department with melena, dizziness, and epigastric pain. He was tachycardic and had a hemoglobin level of 6.4 g/dL. Esophagogastroduodenoscopy revealed isolated gastric fundal varices with stigmata and no esophageal varices. Abdominal ultrasound with Doppler showed a normal-appearing liver, patent splenic vein and hepatic vasculature, and no splenic vein thrombosis. He was managed supportively and discharged. A positron emission tomography-computed tomography scan for staging later revealed extensive neoplastic involvement of the pancreas, gastrohepatic ligament, celiac trunk, and perigastric and splenic hilar regions.
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spelling pubmed-71452242020-04-17 Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma Shen, Miles Vaidya, Sarangdev Okoronkwo, Nneoma Alder, Edward Ahlawat, Sushil ACG Case Rep J Case Report A 59-year-old man with diffuse large B-cell lymphoma, recently diagnosed from a renal biopsy, presented to the emergency department with melena, dizziness, and epigastric pain. He was tachycardic and had a hemoglobin level of 6.4 g/dL. Esophagogastroduodenoscopy revealed isolated gastric fundal varices with stigmata and no esophageal varices. Abdominal ultrasound with Doppler showed a normal-appearing liver, patent splenic vein and hepatic vasculature, and no splenic vein thrombosis. He was managed supportively and discharged. A positron emission tomography-computed tomography scan for staging later revealed extensive neoplastic involvement of the pancreas, gastrohepatic ligament, celiac trunk, and perigastric and splenic hilar regions. Wolters Kluwer 2019-11-28 /pmc/articles/PMC7145224/ /pubmed/32309472 http://dx.doi.org/10.14309/crj.0000000000000267 Text en Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a “work of the United States Government” for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Shen, Miles
Vaidya, Sarangdev
Okoronkwo, Nneoma
Alder, Edward
Ahlawat, Sushil
Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma
title Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma
title_full Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma
title_fullStr Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma
title_full_unstemmed Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma
title_short Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma
title_sort isolated gastric fundal varices caused by diffuse large b-cell lymphoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145224/
https://www.ncbi.nlm.nih.gov/pubmed/32309472
http://dx.doi.org/10.14309/crj.0000000000000267
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