Pharyngeal Varices Secondary to Sinistral Portal Hypertension

  title={Pharyngeal Varices Secondary to Sinistral Portal Hypertension},
  author={Sho Kitagawa and Hiroyuki Miyakawa},
  booktitle={ACG case reports journal},
A 60-year-old man presented with hematemesis. He had been diagnosed with pancreatic tail cancer and gastric varices due to sinistral portal hypertension, which had been observed on computed tomography (CT). An upper gastrointestinal endoscopy was undertaken to assess the gastric varices, and a recent gastric variceal bleed was suggested (Figure 1). Although splenectomy was a definitive therapy, considering his prognosis and the possibility of unknown shunts, endoscopic variceal ligation (EVL… CONTINUE READING