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Updated: Apr 26, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
[Gastrointestinal bleeding revealing polycythemia. A case report]
Abdessadek El Khattabi1, Fatima Tabache, Mohammed Baaj
1Service de Médecine Interne B , Hôpital Militaire d'Instruction Mohammed-V, CHU, BP 1018, Riad-Rabat, Maroc. elabdo2002@yahoo.fr
Purpose:
Gastrointestinal bleeding, an uncommon complication of polycythemia can be the inaugural sign in exceptional cases.
Case Report:
A 35-year-old patient was hospitalized for upper gastrointestinal bleeding. Physical examination and laboratory tests led to the diagnosis of polycythemia (Vaquez disease). Gastroscopy showed an hemorrhagic bulber ulcer. Outcome was favorable after chemotherapy and antinuclear treatment.
Conclusion:
Based on this observation and data in the literature we propose that this unusual presentation would suggest a relationship between polycythemia and ulcer disease.
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