Isolated Gastric Fundal Varices Caused by Diffuse Large B-Cell Lymphoma. Issue 11 (November 2019)

• Record Type: Journal Article
• Authors: Shen, Miles; Vaidya, Sarangdev; Okoronkwo, Nneoma; Alder, Edward; Ahlawat, Sushil
• Is Part Of: ACG Case Reports Journal. Volume 6:Issue 11(2019)
• Publication Date: 2019-11
• DOI: 10.14309/crj.0000000000000267
• Languages: English
• ISSNs: 2326-3253

Abstract

Abstract : 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.