Massive Esophagogastric Variceal Bleeding from Chronic Portal Vein Thrombosis in a Non-Cirrhotic Young Man: A Resource-Limited Endoscopic Management Dilemma
Osman Ahmed Tahajud, Omar Hassan Ahmed · 2026
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Description
Tahajud and Ahmed reported a hard case in twenty twenty-six: massive bleeding from swollen veins in the food pipe and stomach of a young man without liver cirrhosis. A chronic clot in the portal vein, which carries blood to the liver, had raised pressure and grown these fragile veins.
The thirty-one-year-old arrived vomiting blood, passing black stools, and in shock, with very low hemoglobin. Fluids, transfusions, and drugs steadied him. Endoscopy found large esophageal veins plus a large stomach vein that had recently bled. Definitive treatment for the stomach vein was not available locally, so the team deferred banding the other veins and arranged urgent referral. Scans confirmed the old clot with bypass vessels and an enlarged spleen. He left hospital on day five without new bleeding.
Catalog record
| CREATOR | Osman Ahmed Tahajud, Omar Hassan Ahmed |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 18 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |