A 74-year-old man presented to the emergency department due to an episode of bloody vomiting. He also complains of dark tarry stool and abdominal pain in the past week. The patient is known to have pancreatic cancer. Physical examination shows tenderness in the epigastric area. Digital rectal examination shows black tarry stool. The patient is referred for an upper gastrointestinal endoscopy, which shows bleeding enlarged veins in the gastric fundus. Other parts of the gastrointestinal tract appear normal. An abnormality in which of the following veins describe this patient's presentation?

Question

Quizplus · Accepted Answer

Eductional Objective: Splenic vein thrombosis is a complication of pancreatic cancer, chronic pancreatitis, and abdominal cancers. It leads to gastric fundal varices, it does not affect the esophagus or other parts of the stomach.

A 74-Year-Old Man Presented to the Emergency Department Due to an Episode