Background and Aim: Portal hypertension in pregnancy is an infrequent situation but when seen together present as a complicated clinical situation. The physiological changes adaptation to fetal needs worsen the portal resulting potential life-threatening variceal bleed. Variceal hemorrage associated with increased risk of maternal mortality. Glue has become increasingly utilised acute managemen...

The superior mesenteric vein (SMV) is one of the two tributaries to portal vein, which main pre- hepatic drainage channel splanchnic circulation. Venous thrombosis in SMV rare causes ischemic syndrome. Clinical presentation often vague abdominal symptoms. It seldom presents with hematemesis, may further confound diagnosis, thereby increasing risk poor outcomes. This case highlights an otherwise...

A 29-year-old man with alcohol abuse presented to the emergency department for multiple episodes of hematemesis. He did disclose epigastric pain and gastroesophageal reflux. was hemodynamically stable hemoglobin 12.8 g/dL. An upper endoscopy revealed a striking sloughing mucosa into sheets casts in distal esophagus (Figures B), consistent diagnosis esophagitis dissecans superficialis (EDS). tre...

The aim of the meta-analysis was to provide more solid evidence for the reliability of the new classification. A systematic literature search was performed using PubMed, Armed Forces Pest Management Board Literature Retrieval System, and Google Scholar up to August 2012. A pooled odds ratio (OR) was calculated using either a random-effect or a fixed-effect model. A total of 16 papers were ident...