Abstract
A 60-year-old woman presented with six months of abdominal pain, weight loss and diarrhea for which she underwent bidirectional endoscopies that were unremarkable. Over the next two weeks, she developed non-cirrhotic portal hypertension and presented with esophageal variceal bleeding. A diffuse large B-cell lymphoma encircling her celiac axis with a tumor thrombosis of the superior mesenteric, splenic and portal veins was found to be the cause of her portal hypertension. An esophagogastroduodenoscopy (EGD) was performed to control her variceal bleeding. She was started on R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone) chemotherapy and after three cycles her symptoms have subsided, and a CT scan has shown shrinking mesenteric lymphadenopathy.
References
Dec 1, 1993·Urology·J R WagnerM B Siroky
Sep 1, 1996·Abdominal Imaging·H IrieK Masuda
Oct 9, 1998·Journal of Hepatology·F YoneyamaK Oda
Nov 4, 1998·The Annals of Thoracic Surgery·H NomoriK Soejima
Jan 22, 2002·Journal of Vascular Surgery·Francesco RulliAttilio Maria Farinon
Aug 13, 2002·Abdominal Imaging·J P LaissyP Douek
Mar 17, 2004·Abdominal Imaging·S MatsumotoS Yokoyama
Oct 20, 2006·International Journal of Hematology·Nobuhiro KanemuraHisataka Moriwaki
May 16, 2009·Internal Medicine·Mitsuteru NatsuizakaMasaharu Kasai
Jul 4, 2009·Indian Journal of Cancer·S B ChalamalasettyS K Acharya
Sep 22, 2009·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Massimo Primignani
Jan 13, 2010·World Journal of Gastroenterology : WJG·Francesca R PonzianiAntonio Gasbarrini
Oct 25, 2013·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Sith SiramolpiwatJuan Carlos Garcia-Pagán
Nov 16, 2016·Case Reports in Gastroenterology·Adrienne LenhartReena Salgia
Feb 17, 2019·Gastroenterology·Nicolas M IntagliataArmando Tripodi