A case of complete resolution of gastric varices.
BACKGROUND
A 49-year-old woman with hepatitis C and peptic ulcer disease presented to the emergency department after an onset of sudden massive hematemesis. She had a history of alcohol abuse, but denied any recent excessive drinking.


METHODS
Physical examination, laboratory investigations including complete blood cell counts and liver function tests, esophagogastroduodenoscopy, abdominal angiography and venography, CT scans of the abdomen and pelvis.


METHODS
Gastric variceal hemorrhage, severe portal hypertensive gastropathy, splenic vein thrombosis.


RESULTS
Blood transfusion, splenic artery embolization and balloon-occluded retrograde transvenous obliteration of gastric varices. Immediate postprocedural CT scans of the abdomen, with repeat imaging 30 months later.
Rush University Medical Center, Chicago, IL 60612, USA. vanessa_tieu@rush.edu
Vanessa
V
Tieu
George
G
Behrens
Hector
H
Ferral
Stanley M
SM
Cohen
Joseph
J
Ahn
D021721:Balloon Occlusion; D001803:Blood Transfusion; D004621:Embolization, Therapeutic; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000628:therapy; D008875:Middle Aged