Case Presentation: A 57-year-old incarcerated male with end stage renal disease (ESRD) on hemodialysis, coronary artery disease (CAD), and Gastroesophageal reflux disease (GERD) presented to the emergency department with several episodes of hematemesis, shortness of breath and fatigue for the past 2 days without any associated abdominal pain, dysphagia, or odynophagia. On exam, he was [...]

Case Presentation: A 50-year-old man with known liver cirrhosis secondary to schistosomiasis transferred to our facility for the management of large gastric fundus varices seen on CT abdomen and pelvis. Esophagogastroduodenoscopy (EGD) showed grade I esophageal varices and isolated large gastric fundal varix without bleeding and signs of portal hypertensive gastropathy. Patient was not deemed [...]

Case Presentation: A 49 year old female with history of alcoholic cirrhosis presented to the ED after experiencing self-reported bright red blood per rectum that morning. Patient had history of numerous prior admissions for reported GI bleed with extensive endoscopic work-up; evidence of portal hypertensive gastropathy had been seen previously however no actively-bleeding lesions were [...]