A case of complete resolution of gastric varices

Vanessa Tieu, George Behrens, Hector Ferral, Stanley M. Cohen, Joseph Ahn

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background. A 49-year-old woman with hepatitis C and peptic ulcer disease presented to the emergency department after an onset of sudden massive hematemesis. She had a history of alcohol abuse, but denied any recent excessive drinking. Investigations. Physical examination, laboratory investigations including complete blood cell counts and liver function tests, esophagogastroduodenoscopy, abdominal angiography and venography, CT scans of the abdomen and pelvis. Diagnosis. Gastric variceal hemorrhage, severe portal hypertensive gastropathy, splenic vein thrombosis. Management. Blood transfusion, splenic artery embolization and balloon-occluded retrograde transvenous obliteration of gastric varices. Immediate postprocedural CT scans of the abdomen, with repeat imaging 30 months later.

Original languageEnglish (US)
Pages (from-to)618-622
Number of pages5
JournalNature Reviews Gastroenterology and Hepatology
Volume6
Issue number10
DOIs
StatePublished - Oct 19 2009

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ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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