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Case Reports
. 2020 Aug 11;12(8):e9670.
doi: 10.7759/cureus.9670.

Bleeding Isolated Gastric Varices as a Rare Presentation of Pancreatic Neuroendocrine Tumor: Case Report and Literature Review

Sreeja Sompalli  1 , Saif Faiek  1 , Margaret Mallari  1 , Jacinto Camarena 3rd  2   3
Affiliations
Case Reports

Bleeding Isolated Gastric Varices as a Rare Presentation of Pancreatic Neuroendocrine Tumor: Case Report and Literature Review

Sreeja Sompalli et al. Cureus. .

Abstract

Isolated gastric varices (IGV) are gastric varices in the absence of esophageal varices. IGV is one of the rare causes of gastrointestinal bleeding and an uncommon complication of pancreatic neuroendocrine tumors (PNET). The gold standard diagnostic tool of varices is esophagogastroduodenoscopy (EGD). IGV tend to bleed with lesser portal pressure compared to esophageal varices. Initial treatment is similar to the gastroesophageal varices. The intervention options include endoscopic, radiological, and surgical approach.

Keywords: bleeding gastric varices; gastric varices; isolated gastric varices; pancreatic neuroendocrine tumors.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Coronal abdominal computed tomography (CT) scan
Portovenous delay showing gastric fundal varies (red arrow) and termination of splenic vein circulation (yellow arrow) secondary to thrombosis
Figure 2
Figure 2. Coronal abdominal computed tomography (CT) scan
Portovenous delay showing gastric fundal varices (red arrow) and termination of splenic vein circulation (yellow arrow) secondary to thrombosis
Figure 3
Figure 3. Axial abdominal computed tomography (CT) scan
Portovenous delay showing gastric fundal varices (red arrow)
See this image and copyright information in PMC

References

    1. Current approaches to the treatment of gastric varices: glue, coil application, TIPS, and BRTO. Goral V, Yılmaz N. Medicina (Kaunas) 2019;55:335. - PMC - PubMed
    1. Pancreatic neuroendocrine tumors complicated by sinistral portal hypertension: insights into pathogenesis. Moyana TN, Macdonald DB, Martel G, Pyatibrat S, Lee G, Capitano M. J Pancreat Cancer. 2017;3:71–77. - PMC - PubMed
    1. Prevalence, classification and natural history of gastric varices: A long-term follow-up study in 568 portal hypertension patients. Sarin SK, Lahoti D, Saxena SP, Murthy NS, Makwana UK. Hepatology. 1992;16:1343–1349. - PubMed
    1. Pancreatic neuroendocrine tumour presented as isolated gastric varices. Wong SW, Lee KF, Lai PB. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2384268/ Can J Surg. 2007;50:143–144. - PMC - PubMed
    1. Epidemiology of neuroendocrine tumours. Taal B, G G, Visser O. Neuroendocrinology. 2004;80:3–7. - PubMed

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