Choksi Vivek, Chokshi Binna, Chu Andrew, Mandale Deepa, Wolfson Daniel L, Kaplan Steven, Feiz Hamid
Internal Medicine Residency, Aventura Hospital and Medical Center.
Internal Medicine Department GME, Aventura Hospital and Medical Center.
Cureus. 2017 Apr 19;9(4):e1179. doi: 10.7759/cureus.1179.
Idiopathic non-cirrhotic portal hypertension (INCPH) is portal hypertension (PHT) without cirrhosis and other identifiable causes. Esophageal and gastric varices are seen in INCPH which are mostly asymptomatic. We present a rare case of symptomatic isolated gastric varices (IGV) in the setting of INCPH. We report a case of a 60-year-old man who presented with an acute onset of hematemesis and no identifiable history. Upon further evaluation, he was found to have non-bleeding dilated gastric varices on esophagogastroduodenoscopy (EGD) and PHT without cirrhosis. Our patient is unique because he has symptomatic IGV and INCPH.
特发性非肝硬化性门静脉高压（INCPH）是指无肝硬化及其他可识别病因的门静脉高压（PHT）。INCPH患者可见食管和胃静脉曲张，且大多无症状。我们报告1例罕见的INCPH合并有症状的孤立性胃静脉曲张（IGV）病例。我们报道1例60岁男性患者，急性起病，表现为呕血，无明确病史。进一步评估发现，经食管胃十二指肠镜检查（EGD）显示其有非出血性扩张的胃静脉曲张，且存在无肝硬化的门静脉高压。我们的患者很独特，因为他患有有症状的IGV和INCPH。
