Abstract

Abstract: A 57‐year‐old man was admitted to our hospital in March 1994 with general fatigue and weight loss. Left renal carcinoma was diagnosed by ultrasonography and computed tomography (CT). The left renal carcinoma was too advanced to allow curative resection. Postoperatively, interferon therapy was administered for treatment of the renal cancer at the department of urology. In November 1994, he was admitted to our department with hematemesis. Recurrent left renal carcinoma and splenic vein occlusion were seen on CT. Endoscopic findings showed cardiofornical varices. We diagnosed rupture of gastric varices due to splenic vein occlusion with left renal carcinoma. Endoscopic injection sclerotherapy (EIS) was performed. After EIS, bleeding from the gastric varices resolved completely.

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