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Case report
peer-reviewed

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



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.



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Case report
peer-reviewed

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


Author Information

Vivek Choksi Corresponding Author

Internal Medicine Residency, Aventura Hospital and Medical Center

Binna Chokshi

Internal Medicine Department GME, Aventura Hospital and Medical Center

Andrew Chu

Internal Medicine Department GME, Aventura Hospital and Medical Center

Deepa Mandale

Internal Medicine, Aventura Hospital and Medical Center

Daniel L. Wolfson

Gastroenterology, Aventura Hospital and Medical Center

Steven Kaplan

Gastroenterology, Aventura Hospital and Medical Center

Hamid Feiz

Internal Medicine/Hospitalist Medicine, Aventura Hospital and Medical Center


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

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


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Case report
peer-reviewed

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

Vivek Choksi">Vivek Choksi , Binna Chokshi">Binna Chokshi, Andrew Chu">Andrew Chu, Deepa Mandale">Deepa Mandale, Daniel L. Wolfson">Daniel L. Wolfson, Steven Kaplan">Steven Kaplan, Hamid Feiz">Hamid Feiz

  • Author Information
    Vivek Choksi Corresponding Author

    Internal Medicine Residency, Aventura Hospital and Medical Center

    Binna Chokshi

    Internal Medicine Department GME, Aventura Hospital and Medical Center

    Andrew Chu

    Internal Medicine Department GME, Aventura Hospital and Medical Center

    Deepa Mandale

    Internal Medicine, Aventura Hospital and Medical Center

    Daniel L. Wolfson

    Gastroenterology, Aventura Hospital and Medical Center

    Steven Kaplan

    Gastroenterology, Aventura Hospital and Medical Center

    Hamid Feiz

    Internal Medicine/Hospitalist Medicine, Aventura Hospital and Medical Center


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: April 19, 2017

    DOI

    10.7759/cureus.1179

    Cite this article as:

    Choksi V, Chokshi B, Chu A, et al. (April 19, 2017) Gastric Varices in Absence of Splenic Vein Thrombosis: A Rare Entity of Idiopathic Non-Cirrhotic Portal Hypertension. Cureus 9(4): e1179. doi:10.7759/cureus.1179

    Publication history

    Received by Cureus: February 19, 2017
    Peer review began: March 11, 2017
    Peer review concluded: April 12, 2017
    Published: April 19, 2017

    Copyright

    © Copyright 2017
    Choksi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    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.

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.



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Create a free account to continue reading this article.

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Vivek Choksi, M.D.

Internal Medicine Residency, Aventura Hospital and Medical Center

For correspondence:
vivekchoksi@gmail.com

Binna Chokshi

Internal Medicine Department GME, Aventura Hospital and Medical Center

Andrew Chu

Internal Medicine Department GME, Aventura Hospital and Medical Center

Deepa Mandale

Internal Medicine, Aventura Hospital and Medical Center

Daniel L. Wolfson

Gastroenterology, Aventura Hospital and Medical Center

Steven Kaplan

Gastroenterology, Aventura Hospital and Medical Center

Hamid Feiz

Internal Medicine/Hospitalist Medicine, Aventura Hospital and Medical Center

Vivek Choksi, M.D.

Internal Medicine Residency, Aventura Hospital and Medical Center

For correspondence:
vivekchoksi@gmail.com

Binna Chokshi

Internal Medicine Department GME, Aventura Hospital and Medical Center

Andrew Chu

Internal Medicine Department GME, Aventura Hospital and Medical Center

Deepa Mandale

Internal Medicine, Aventura Hospital and Medical Center

Daniel L. Wolfson

Gastroenterology, Aventura Hospital and Medical Center

Steven Kaplan

Gastroenterology, Aventura Hospital and Medical Center

Hamid Feiz

Internal Medicine/Hospitalist Medicine, Aventura Hospital and Medical Center