Gastric varices from metastatic ovarian cancer with splenic involvement
Caines A, Allo G, and Siddiqui Y. Gastric varices from metastatic ovarian cancer with splenic involvement. Practical Gastroenterology 2020; 44(2):40-44.
Left-sided portal hypertension (LSPH), also known as splenoportal hypertension, is a rare but life-threatening cause of upper gastrointestinal bleeding. LSPH often occurs in non-cirrhotic patients as a consequence of splenic vein obstruction. We present a case of isolated gastric varices due to mass effect on the splenic vein and likely tumor thrombus due to metastatic ovarian cancer.