Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Apr 19;9(4):e1179.
doi: 10.7759/cureus.1179.

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

Vivek Choksi  1 , Binna Chokshi  2 , Andrew Chu  2 , Deepa Mandale  3 , Daniel L Wolfson  4 , Steven Kaplan  4 , Hamid Feiz  5
Affiliations
Case Reports

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

Vivek Choksi et al. Cureus. .

Abstract

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.

Keywords: idiopathic; isolated gastric varices; non-cirrhotic portal hypertension.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT scan of the abdomen
CT scan of the abdomen showing heterogenous mass (red arrow) within the tail of the pancreas.
Figure 2
Figure 2. EGD of the stomach
Esophagogastroduodenoscopy (EGD) image of the stomach body showing mild varices.
Figure 3
Figure 3. Histopathology of the pancreatic biopsy
Pathology of the pancreatic tail biopsy showing malignant cells.
Figure 4
Figure 4. Histopathology of the liver
Pathology of the liver biopsy showing normal hepatic cells with no evidence of atypia.
See this image and copyright information in PMC

References

    1. Non‐cirrhotic portal hypertension versus idiopathic portal hypertension. Okuda K. J Gastroenterol Hepatol. 2002;17:0. - PubMed
    1. Management of acute gastric varices bleeding. Chang CJ, Hou MC, Liao WC, Chen PH, Lin HC, Lee FY, Lee SD. JCMA. 2013;76:539–546. - PubMed
    1. Isolated gastric varices: prevalence, clinical relevance and natural history. Sarin SK, Jain AK, Lamba GS, Gupta R, Chowdhary A. https://www.karger.com/Article/Abstract/68865. Dig Surg. 2003;20:42–47. - PubMed
    1. Functional aspects on the pathophysiology of portal hypertension in cirrhosis. García-Pagán JC, Gracia-Sancho J, Bosch J. J Hepatol. 2012;57:458–461. - PubMed
    1. Idiopathic non-cirrhotic portal hypertension: a review. Schouten JN, Verheij J, Seijo S. Otphanet J. Rare Dis. 2015;10:67. - PMC - PubMed

Publication types

LinkOut - more resources