Nicharee Kitkarncharoensin, Sarin Catithammanit, Niravit Chavanachinda, Bantita Phruttinarakorn, Piya Cherntanomwong, Taya Kitiyakara
A 75-year-old woman with hypertension, dyslipidemia, thalassemia trait, osteoarthritis of the knees, and hyperthyroidism presented with bloating, abdominal discomfort, and change in stool caliber underwent an esophagogastroduodenoscopy. The esophagogastroduodenoscopy revealed varices at the middle of esophagus, which were diagnosed to be downhill esophageal varices (DEVs). DEVs occur mainly from the superior vena cava (SVC) obstruction; however, in the absence of obstruction, angiogenesis and thrombosis could be the etiology...
January 2024: ACG Case Reports Journal