A case of asymptomatic primary biliary cirrhosis with an initial presenting feature of localized gastric varices
- 6 Downloads
A case of asymptomatic primary biliary cirrhosis (PBC) with an initial presenting feature of localized gastric varices is reported.
The patient, 64 years old female, underwent a barium meal examination because of ill-defined abdominal complaints and was found to have gastric varices localized at the cardia but no esophageal varices. Her blood chemistry showed high values of biliary tract enzymes such as alkaline phosphatase and gamma-glutamyl transpeptidase, but the serum bilirubin level was almost normal. Serum anti-mitochondrial antibody was positive. Histological findings of the surgically biopsied liver specimen were compatible with PBC. The clinical implication of gastric varices in PBC is discussed.
Key Wordsasymptomatic primary biliary cirrhosis gastric varices portal hypertension
Unable to display preview. Download preview PDF.
- 2).Lebric D, et al: Portal hypertension and primary biliary cirrhosis. Diagestion 14: 220, 1976Google Scholar
- 3).Nakanuma Y, et al: Portal hypertension with primary biliary cirrhosis; its pathogenesis and comparison with other liver diseases using histometeric methods. Acta Hepatol Jpn 20: 388, 1979 (Jpn)Google Scholar
- 8).Scheuer PJ: Primary biliary cirrhosis. Roy Soc Med 60: 1257, 1967Google Scholar
- 11).Maeta Y, et al: A case of asymptomatic primary biliary cirrhosis with initial manifestation of bleeding from esophageal varix. Acta Hepatol Jpn 17: 377, 1976 (Jpn)Google Scholar
- 12).Wohl GT, et al: Lesions of the cardiac end of the stomach simulating carcinoma. Am J Rentgenol 82: 1048, 1959Google Scholar
- 14).Nishioka K, et al: Esophago-gastric varices. Stomach and Intestine 4: 157, 1969 (Jpn)Google Scholar
- 15).Sherlock S, et al: Presymptomatic primary biliary cirrhosis. Gastroenterology 56: 1222, 1976Google Scholar