Axial CT showing varices of the fundus in liver cirrhosis with portal hypertension<unk>  can present in two major ways. First, patients with cirrhosis may be enrolled in screening gastroscopy programs to detect esophageal varices. These evaluations may detect<unk>  that are asymptomatic. When<unk>  are symptomatic, however, they usually present acutely and dramatically with upper gastrointestinal bleeding. The symptoms can include vomiting blood, melena (passing black, tarry stools); or passing maroon stools or frank blood in the stools. Many people with bleeding<unk>  present in shock due to the profound loss of blood. Secondly, patients with acute pancreatitis may present with<unk>  as a complication of a blood clot in the splenic vein. The splenic vein sits over the pancreas anatomically, and inflammation or cancers of the pancreas may result in a blood clot forming in the splenic vein. As the short<unk>  veins of the fundus of the stomach drain into the splenic vein, thrombosis of the splenic vein will result in increased pressure and engorgement of the short veins, leading to varices in the fundus of the stomach. Laboratory testing usually shows low red blood cell count and often a low platelet count. If cirrhosis is present, there may be coagulopathy manifested by a prolonged INR; both of these may worsen the bleeding from<unk> . In very rare cases,<unk>  are caused by splenic vein occlusion as a result of the mass effect of slow-growing pancreatic neuroendocrine tumors.
Gastric varices
Anorectal varices
Esophageal varices
Tropical ulcer
Mouth ulcer
Nosebleed
Black stomach
Stercoral ulcer