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A Rare Cause of Gastric Variceal Bleeding
Yesenia Ramos1, Dorina Gui2, Eric Chak3
1Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, California, USA.
Abstract:
A 68-year-old woman with stage III colon cancer status after right hemicolectomy and adjuvant FOLFOX (5-fluorouracil/leucovorin/oxaliplatin) chemotherapy was hospitalized for melena and found to have new-onset esophageal and gastric varices on esophagogastroduodenoscopy. Her workup did not reveal an underlying liver disease, but her liver biopsy showed noncirrhotic portal hypertension from obliterative portal venopathy (OPV). The development of OPV is likely from her use of oxaliplatin-based chemotherapy.
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