Jain, AJain, SChowdhury, VMukhopadhyay, SAggarwal, AKar, P1999-07-252009-05-311999-07-252009-05-311999-07-25Jain 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): 730-2http://imsear.searo.who.int/handle/123456789/91758Pancreatic 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.engAdenocarcinoma --complicationsAdultEsophageal and Gastric Varices --etiologyGastrointestinal Hemorrhage --etiologyHumansMalePancreatic Neoplasms --complicationsPortal VeinVenous Thrombosis --etiologyCase Reports