Bleeding varices due to portal hypertension in sarcoidosis. Favorable effect of propranolol and prednisone.
case_report · Level V
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Abstract
A 58-year-old white man had bleeding varices in the gastric fundus due to portal hypertension attributable to histologically proven hepatic sarcoid involvement with a giant splenomegaly and with an angiographically demonstrated significant flow toward the liver. Treatment with corticosteroids and beta-blockade (30 mg propranolol daily) resulted in no rebleeding for over one year follow-up.
Medical subject headings
- Esophageal and Gastric Varices
- Hypertension, Portal
- Prednisone
- Propranolol
- Sarcoidosis