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

Overview

Journal ACG Case Rep J

Specialty Gastroenterology

Date 2020 Apr 21

PMID 32309472

Authors

Miles Shen

Sarangdev Vaidya

Nneoma Okoronkwo

Edward Alder

Sushil Ahlawat

Affiliations

Soon will be listed here.

Abstract

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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