Profuse variceal hemorrhage as a presenting feature of pancreatic adenocarcinoma in a young non-icteric patient.

Jain, A; Jain, S; Chowdhury, V; Mukhopadhyay, S; Aggarwal, A; Kar, P

Profuse variceal hemorrhage as a presenting feature of pancreatic adenocarcinoma in a young non-icteric patient.

Date

1999-07-25

Authors

Abstract

Pancreatic adenocarcinoma can present with a vast spectrum of rare manifestations. It usually occurs after the age of 50 years, the peak incidence being in sixth and seventh decades. We report a previously asymptomatic subject of pancreatic adenocarcinoma who presented for the first time with massive upper gastrointestinal hemorrhage. Endoscopy revealed ruptured esophageal varices which were secondary to tumour-induced thrombosis of the portal vein. Besides the uncommon mode of presentation, the patient was unusual because of his young age. Further, he was non-icteric at the time of presentation and remained so throughout the clinical course despite having a large lesion in the head of the pancreas.

Citation

Jain A, Jain S, Chowdhury V, Mukhopadhyay S, Aggarwal A, Kar P. Profuse variceal hemorrhage as a presenting feature of pancreatic adenocarcinoma in a young non-icteric patient. Journal of the Association of Physicians of India. 1999 Jul; 47(7): 730-2