{"id":"https://openalex.org/W7127586837","doi":"https://doi.org/10.7759/cureus.102939","title":"Upper Gastrointestinal Bleeding Due to Ruptured Gastric Varices: A Diagnostic Challenge","display_name":"Upper Gastrointestinal Bleeding Due to Ruptured Gastric Varices: A Diagnostic Challenge","publication_year":2026,"publication_date":"2026-02-04","ids":{"openalex":"https://openalex.org/W7127586837","doi":"https://doi.org/10.7759/cureus.102939","pmid":"https://pubmed.ncbi.nlm.nih.gov/41798555"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.102939","doi":"https://doi.org/10.7759/cureus.102939","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.102939","pdf_url":"https://www.cureus.com/articles/436939-upper-gastrointestinal-bleeding-due-to-ruptured-gastric-varices-a-diagnostic-challenge.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/436939-upper-gastrointestinal-bleeding-due-to-ruptured-gastric-varices-a-diagnostic-challenge.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Lu\u00eds Neves da Silva","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210137968","display_name":"Hospital Braga","ror":"https://ror.org/04jjy0g33","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210137968"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Lu\u00eds Neves da Silva","raw_affiliation_strings":["Internal Medicine, Hospital de Braga, Braga, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Hospital de Braga, Braga, PRT","institution_ids":["https://openalex.org/I4210137968"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125087858","display_name":"In\u00eas M Ara\u00fajo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210137968","display_name":"Hospital Braga","ror":"https://ror.org/04jjy0g33","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210137968"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"In\u00eas M Ara\u00fajo","raw_affiliation_strings":["Internal Medicine, Hospital de Braga, Braga, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Hospital de Braga, Braga, PRT","institution_ids":["https://openalex.org/I4210137968"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010371339","display_name":"Rui Andr\u00e9 Mendes Ribeiro","orcid":"https://orcid.org/0009-0006-8829-9634","observed_orcids":["https://orcid.org/0009-0006-8829-9634"]},"institutions":[{"id":"https://openalex.org/I3018176973","display_name":"Hospital de S\u00e3o Jo\u00e3o","ror":"https://ror.org/04qsnc772","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I3018176973"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Rui Ribeiro","raw_affiliation_strings":["Internal Medicine, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT","institution_ids":["https://openalex.org/I3018176973"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101469971","display_name":"Sofia Teixeira","orcid":"https://orcid.org/0000-0002-5005-5400","observed_orcids":["https://orcid.org/0000-0002-5005-5400"]},"institutions":[{"id":"https://openalex.org/I3018176973","display_name":"Hospital de S\u00e3o Jo\u00e3o","ror":"https://ror.org/04qsnc772","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I3018176973"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Sofia Teixeira","raw_affiliation_strings":["Internal Medicine, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT","institution_ids":["https://openalex.org/I3018176973"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060090587","display_name":"Francisco Mendes","orcid":"https://orcid.org/0000-0002-5890-7049","observed_orcids":["https://orcid.org/0000-0002-5890-7049"]},"institutions":[{"id":"https://openalex.org/I3018176973","display_name":"Hospital de S\u00e3o Jo\u00e3o","ror":"https://ror.org/04qsnc772","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I3018176973"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Francisco Mendes","raw_affiliation_strings":["Gastroenterology, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gastroenterology, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT","institution_ids":["https://openalex.org/I3018176973"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Luis Flores","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3018176973","display_name":"Hospital de S\u00e3o Jo\u00e3o","ror":"https://ror.org/04qsnc772","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I3018176973"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Luis Flores","raw_affiliation_strings":["Internal Medicine, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT","institution_ids":["https://openalex.org/I3018176973"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5015716780","display_name":"Joana A. PEREIRA","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3018176973","display_name":"Hospital de S\u00e3o Jo\u00e3o","ror":"https://ror.org/04qsnc772","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I3018176973"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Joana Pereira","raw_affiliation_strings":["Internal Medicine, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Hospital Universit\u00e1rio de S\u00e3o Jo\u00e3o, Porto, PRT","institution_ids":["https://openalex.org/I3018176973"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.06465302,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"2","first_page":"e102939","last_page":"e102939"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.013399999588727951,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/gastric-variceal-bleeding","display_name":"gastric variceal bleeding","score":0.9229999780654907},{"id":"https://openalex.org/keywords/non-cirrhotic-portal-hypertension","display_name":"non-cirrhotic portal hypertension","score":0.9750000238418579},{"id":"https://openalex.org/keywords/portosinusoidal-vascular-disorder","display_name":"portosinusoidal vascular disorder","score":0.9779999852180481},{"id":"https://openalex.org/keywords/chemotherapy-induced-liver-injury","display_name":"chemotherapy-induced liver injury","score":0.7110000252723694},{"id":"https://openalex.org/keywords/pediatric-neuroblastoma","display_name":"pediatric neuroblastoma","score":0.7609999775886536},{"id":"https://openalex.org/keywords/dacarbazine","display_name":"dacarbazine","score":0.7620000243186951},{"id":"https://openalex.org/keywords/endoscopic-cyanoacrylate-injection","display_name":"endoscopic cyanoacrylate injection","score":0.7699999809265137},{"id":"https://openalex.org/keywords/terlipressin","display_name":"terlipressin","score":0.9010000228881836},{"id":"https://openalex.org/keywords/splenic-stiffness","display_name":"splenic stiffness","score":0.6269999742507935},{"id":"https://openalex.org/keywords/liver-elastography","display_name":"liver elastography","score":0.6520000100135803},{"id":"https://openalex.org/keywords/hepatic-angiography","display_name":"hepatic angiography","score":0.7250000238418579},{"id":"https://openalex.org/keywords/non-selective-beta-blockers","display_name":"non-selective beta-blockers","score":0.781000018119812},{"id":"https://openalex.org/keywords/upper-gastrointestinal-bleeding","display_name":"upper gastrointestinal bleeding","score":0.6769999861717224}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9939000010490417},{"id":"https://openalex.org/C2778808290","wikidata":"https://www.wikidata.org/wiki/Q124604","display_name":"Portal hypertension","level":3,"score":0.6852999925613403},{"id":"https://openalex.org/C2779393834","wikidata":"https://www.wikidata.org/wiki/Q324147","display_name":"Terlipressin","level":4,"score":0.659500002861023},{"id":"https://openalex.org/C2776345487","wikidata":"https://www.wikidata.org/wiki/Q3144956","display_name":"Upper gastrointestinal bleeding","level":3,"score":0.5275999903678894},{"id":"https://openalex.org/C2776862113","wikidata":"https://www.wikidata.org/wiki/Q1484679","display_name":"Gastric antral vascular ectasia","level":4,"score":0.5224999785423279},{"id":"https://openalex.org/C2777214474","wikidata":"https://www.wikidata.org/wiki/Q147778","display_name":"Cirrhosis","level":2,"score":0.5184999704360962},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.48010000586509705},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.46549999713897705},{"id":"https://openalex.org/C2781033279","wikidata":"https://www.wikidata.org/wiki/Q1438498","display_name":"Transjugular intrahepatic portosystemic shunt","level":4,"score":0.46209999918937683},{"id":"https://openalex.org/C2779195621","wikidata":"https://www.wikidata.org/wiki/Q5526797","display_name":"Gastric varices","level":4,"score":0.4320000112056732},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.41749998927116394},{"id":"https://openalex.org/C2778080469","wikidata":"https://www.wikidata.org/wiki/Q1495657","display_name":"Gastrointestinal bleeding","level":2,"score":0.4156000018119812},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.41100001335144043},{"id":"https://openalex.org/C2780643987","wikidata":"https://www.wikidata.org/wiki/Q468414","display_name":"Angiography","level":2,"score":0.4092999994754791},{"id":"https://openalex.org/C2778674827","wikidata":"https://www.wikidata.org/wiki/Q2105264","display_name":"Portosystemic shunt","level":4,"score":0.39329999685287476},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.38440001010894775},{"id":"https://openalex.org/C15451672","wikidata":"https://www.wikidata.org/wiki/Q2717624","display_name":"Varix","level":4,"score":0.3765000104904175},{"id":"https://openalex.org/C2777766500","wikidata":"https://www.wikidata.org/wiki/Q360841","display_name":"Liver biopsy","level":3,"score":0.3765000104904175},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3499000072479248},{"id":"https://openalex.org/C2778230777","wikidata":"https://www.wikidata.org/wiki/Q6298197","display_name":"Sclerotherapy","level":2,"score":0.3425999879837036},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.3312999904155731},{"id":"https://openalex.org/C2776035437","wikidata":"https://www.wikidata.org/wiki/Q1144114","display_name":"Embolization","level":2,"score":0.326200008392334},{"id":"https://openalex.org/C2775964340","wikidata":"https://www.wikidata.org/wiki/Q1495648","display_name":"Portal hypertensive gastropathy","level":5,"score":0.3197999894618988},{"id":"https://openalex.org/C56900294","wikidata":"https://www.wikidata.org/wiki/Q7231497","display_name":"Portal venous pressure","level":4,"score":0.319599986076355},{"id":"https://openalex.org/C2781025020","wikidata":"https://www.wikidata.org/wiki/Q419935","display_name":"Octreotide","level":3,"score":0.30469998717308044},{"id":"https://openalex.org/C2778019345","wikidata":"https://www.wikidata.org/wiki/Q1148337","display_name":"Hepatocellular carcinoma","level":2,"score":0.2955999970436096},{"id":"https://openalex.org/C2780325230","wikidata":"https://www.wikidata.org/wiki/Q642548","display_name":"Hepatic encephalopathy","level":3,"score":0.28189998865127563},{"id":"https://openalex.org/C2778012290","wikidata":"https://www.wikidata.org/wiki/Q2624485","display_name":"Varices","level":3,"score":0.2784999907016754},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.2671999931335449},{"id":"https://openalex.org/C2776309230","wikidata":"https://www.wikidata.org/wiki/Q580383","display_name":"Splenectomy","level":3,"score":0.2628999948501587},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.26260000467300415},{"id":"https://openalex.org/C2777849778","wikidata":"https://www.wikidata.org/wiki/Q410237","display_name":"Clopidogrel","level":3,"score":0.25760000944137573},{"id":"https://openalex.org/C2777910003","wikidata":"https://www.wikidata.org/wiki/Q1707292","display_name":"Asymptomatic","level":2,"score":0.25540000200271606},{"id":"https://openalex.org/C2778721985","wikidata":"https://www.wikidata.org/wiki/Q1183680","display_name":"Decompensation","level":2,"score":0.2549999952316284}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.102939","doi":"https://doi.org/10.7759/cureus.102939","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.102939","pdf_url":"https://www.cureus.com/articles/436939-upper-gastrointestinal-bleeding-due-to-ruptured-gastric-varices-a-diagnostic-challenge.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:41798555","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41798555","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:12964170","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12964170/pdf/cureus-0018-00000102939.pdf","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.102939","doi":"https://doi.org/10.7759/cureus.102939","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.102939","pdf_url":"https://www.cureus.com/articles/436939-upper-gastrointestinal-bleeding-due-to-ruptured-gastric-varices-a-diagnostic-challenge.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.4262000620365143}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7127586837.pdf","grobid_xml":"https://content.openalex.org/works/W7127586837.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W2011130821","https://openalex.org/W2932858310","https://openalex.org/W2976970046","https://openalex.org/W4200473175","https://openalex.org/W4210547726","https://openalex.org/W4225548350","https://openalex.org/W4307154288","https://openalex.org/W4389063096","https://openalex.org/W4401826293","https://openalex.org/W4405320545"],"related_works":[],"abstract_inverted_index":{"Gastric":[0],"variceal":[1],"(GV)":[2],"bleeding":[3,110,194,207],"is":[4,21,230],"a":[5,33,46,85,89,116,149,170,188,215],"life-threatening":[6],"complication":[7],"of":[8,48,122,152,173,205,214],"portal":[9,18],"hypertension,":[10],"most":[11],"commonly":[12],"associated":[13],"with":[14,27,45,52,59,88,105,161,191],"cirrhosis.":[15],"However,":[16],"non-cirrhotic":[17],"hypertension":[19],"(NCPH)":[20],"an":[22],"important":[23],"and":[24,56,61,68,80,103,140,202,210,217],"under-recognized":[25],"cause,":[26],"portosinusoidal":[28],"vascular":[29,131,158],"disorder":[30],"(PSVD)":[31],"being":[32],"key":[34],"entity,":[35],"particularly":[36],"in":[37,208],"patients":[38],"exposed":[39],"to":[40,169,176,180,220],"chemotherapy.":[41,182],"A":[42,223],"39-year-old":[43],"man":[44],"history":[47],"childhood":[49],"neuroblastoma":[50],"treated":[51],"dacarbazine,":[53],"cyclophosphamide,":[54],"doxorubicin,":[55],"vincristine":[57],"presented":[58],"hematemesis":[60],"syncope.":[62],"On":[63],"admission,":[64],"he":[65],"was":[66,185],"hypotensive":[67],"tachycardic.":[69],"Laboratory":[70],"tests":[71],"revealed":[72,134],"anemia":[73],"(hemoglobin":[74],"6.9":[75],"g/dL),":[76],"preserved":[77],"liver":[78,136],"function,":[79],"normal":[81,135],"coagulation.":[82],"Endoscopy":[83],"showed":[84,127],"fundal":[86],"GV":[87,206],"\"white":[90],"nipple\"":[91],"sign.":[92],"He":[93],"received":[94],"prompt":[95],"vasoactive":[96],"therapy,":[97],"endoscopic":[98,118],"cyanoacrylate":[99],"injection,":[100],"blood":[101],"transfusion,":[102],"prophylaxis":[104],"ceftriaxone.":[106],"Despite":[107],"initial":[108],"stabilization,":[109],"recurred":[111],"after":[112],"terlipressin":[113],"discontinuation,":[114],"requiring":[115],"new":[117],"intervention.":[119],"Common":[120],"causes":[121],"cirrhosis":[123],"were":[124],"excluded.":[125],"Imaging":[126],"no":[128,192],"parenchymal":[129],"or":[130],"abnormalities.":[132],"Elastography":[133],"stiffness":[137,143],"(5.3":[138],"kPa)":[139],"elevated":[141],"splenic":[142],"(33.8":[144],"kPa).":[145],"Hepatic":[146],"angiography":[147],"determined":[148],"portosystemic":[150],"gradient":[151],"15":[153],"mmHg.":[154],"Liver":[155],"biopsy":[156],"demonstrated":[157],"changes":[159],"consistent":[160],"PSVD.":[162,222],"Extensive":[163],"workup":[164,219],"excluded":[165],"other":[166],"etiologies,":[167],"leading":[168],"final":[171],"diagnosis":[172],"NCPH":[174,209],"due":[175],"PSVD":[177],"likely":[178],"secondary":[179],"prior":[181,227],"The":[183],"patient":[184],"started":[186],"on":[187],"non-selective":[189],"beta-blocker,":[190],"further":[193],"during":[195],"follow-up.":[196],"This":[197],"case":[198],"highlights":[199],"the":[200,212],"diagnostic":[201],"therapeutic":[203],"challenges":[204],"underscores":[211],"importance":[213],"systematic":[216],"multidisciplinary":[218],"identify":[221],"detailed":[224],"history,":[225],"including":[226],"chemotherapy":[228],"exposure,":[229],"crucial":[231],"for":[232],"appropriate":[233],"management.":[234]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-02-06T00:00:00"}