Bleeding from gastric varices as the initial manifestation of primary pancreatic lymphoma

Gastroenterología y hepatología
Luis Vida PérezEnrique Fraga Rivas

Abstract

In patients with pancreatic cancer, the most frequent symptoms are abdominal pain, weight loss and jaundice. Upper gastrointestinal bleeding produced by gastric varices is a rare entity in these patients and requires the presence of splenic vein thrombosis (SVT) to be excluded. We describe the case of a young man who presented to the emergency department with hematemesis. Diagnostic tests revealed primary pancreatic lymphoma (PPL), which provoked splenic vein thrombosis, collateral circulation and the formation of isolated bleeding gastric varices. To date, we have found no reports in the literature of PPL with this form of presentation. Finally, we review the literature, with emphasis on the importance of excluding splenic vein thrombosis in patients with isolated gastric varices, and discuss certain features of the diagnosis and treatment of PPL.

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Citations

Nov 5, 2013·World Journal of Gastroenterology : WJG·Bao-Chung ChenTsai-Yuan Hsieh
Apr 21, 2020·ACG Case Reports Journal·Miles ShenSushil Ahlawat
Oct 7, 2021·Journal of the Chinese Medical Association : JCMA·Yu-Jen ChenFa-Yauh Lee

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