Gastroenterologia Japonica

, Volume 18, Issue 4, pp 384–390 | Cite as

A case of asymptomatic primary biliary cirrhosis with an initial presenting feature of localized gastric varices

  • Koji Yabu
  • Kendo Kiyosawa
  • Yoshihiro Akahane
  • Katsuhide Shimakura
  • Atsuo Nagata
  • Seiichi Furuta
Case Report


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 Words

asymptomatic primary biliary cirrhosis gastric varices portal hypertension 


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Copyright information

© The Japanese Society of Gastroenterology 1983

Authors and Affiliations

  • Koji Yabu
    • 1
  • Kendo Kiyosawa
    • 1
  • Yoshihiro Akahane
    • 1
  • Katsuhide Shimakura
    • 1
  • Atsuo Nagata
    • 1
  • Seiichi Furuta
    • 1
  1. 1.The Second Department of Internal MedicineShinshu University School of MedicineMatsumotoJapan

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