Background

An 80-year-old male with a history of multiple endocrine neoplasia type 1 presented to an outside hospital with burgundy stool. He had a history of gastric varices secondary to thrombosis of the portal and splenic veins.

Treatment

The patient was referred to the Interventional Endoscopy Services Medical Group for glue injection. Nine months later the varis is completely obliterated and replaced by scar tissue.

Outcome

Follow up endoscopies over the following 9 months confirmed varix obliteration. The patient has had no further gastrointestinal bleeding and is scheduled for one more endoscopic follow up