Multiple large gastric varices can be seen in the gastric cardia and fundus. The treatment chosen for this patient was intravariceal injection with cyanoacrylate. After volume resuscitation and blood transfusion, urgent upper endoscopy was performed. The stomach and duodenum were clear of either fresh or old blood. There was an isolated cluster of gastric varices within the fundus, appreciated only on retroflexion. A red, flat spot was noted on one of the suspected varices.
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