An Unusual Cause of Isolated Fundal Gastric Varix | Zendy

Fahad Chaudhary | Zendy; Hiren Vallabh | Zendy; Sardar M. Shah-Khan | Zendy; Anshu Mahajan | Zendy

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An Unusual Cause of Isolated Fundal Gastric Varix

Author(s) -

Fahad Chaudhary,

Hiren Vallabh,

Sardar M. Shah-Khan,

Anshu Mahajan

Publication year - 2018

Publication title -

west virginia medical journal

Language(s) - English

Resource type - Journals

ISSN - 0043-3284

DOI - 10.21885/wvmj.2018.7

Subject(s) - medicine , varices , melanoma , gastric varices , biopsy , radiology , varix , abdomen , epigastric pain , metastasis , quadrant (abdomen) , pelvis , stomach , cancer , surgery , vomiting , cirrhosis , cancer research

Choroidal melanoma is a rare and deadly ocular cancer. We report a case of metastatic choroidal melanoma presenting as isolated gastric varices (IGV1). A 69-year old female with a history of choroidal melanoma treated with plaque radiotherapy presented with a 3 month history of epigastric pain, especially after spicy meals. EGD revealed isolated gastric varices. Initial right upper quadrant ultrasound was negative as was a liver biopsy. CT Abdomen and Pelvis with intravenous contrast revealed a right hepatic lobe mass which repeat biopsy confirmed was metastatic melanoma. The patient eventually chose palliative care with hospice. Additional imaging revealed brain metastasis. To our knowledge, this is the first reported case of choroidal melanoma presenting as isolated gastric varices.

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