The development of isolated gastric varices (IGVs) is a rare manifestation in the setting of chronic pancreatitis (CP). However, due to the proximity of the pancreas to the splenic vein, splenic vein thrombosis (SVT) secondary to compression from CP can lead to the development of IGVs. We report a case of a 57-year-old patient with a history of CP status post Whipple procedure with upper GI bleeding from IGV formation.
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