Isolated Gastric Varices due to Essential Thrombocytosis Related to Splenic Vein Thrombosis: A Challenge to Uncover the Concealed Diagnosis

被引：6
|
作者：
Patel, Harish [1 ]
Bhandari, Peter [2 ]
Kumar, Kishore [3 ]
Makker, Jasbir [3 ]
Chandrala, Chaitanya [4 ]
机构：
[1] Bronx Lebanon Hosp Ctr, Internal Med, New York, NY USA
[2] Amer Univ, Caribbean Sch Med, Internal Med, Cupecoy, Sint Maarten
[3] Bronxcare Hosp Ctr, Gastroenterol, Bronx, NY USA
[4] Lake Erie Coll Osteopath Med, Gastroenterol, Elmira, NY USA
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2019年 / 11卷 / 11期
关键词：
isolated gastric fundus varices; splenic vein thrombosis; complications of essential thrombocytosis; MANAGEMENT; OCCULT;
D O I：
10.7759/cureus.6068
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Essential thrombocytosis is associated with gastrointestinal (GI) vascular thrombosis. Sinistral portal hypertension (left-sided portal hypertension) due to splenic vein thrombosis can lead to isolated gastric varices and should be suspected in a patient with obscure GI bleeding with normal liver function. This case reviews the challenges presented in diagnosing isolated gastric varices due to splenic vein thrombosis through radiologic or endoscopic studies. Unrevealing radiologic or endoscopic studies does not rule out splenic vein thrombosis, which should he suspected in a patient with essential thrombocytosis and obscure GI bleeding.
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页数：7
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