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An ‘illuminating’ CT
  1. R H Westbrook,
  2. D Joshi,
  3. A Prachalias
  1. Institute of Liver Studies, King's College Hospital, London, UK
  1. Correspondence to Dr R H Westbrook, Institute of Liver Studies, King's College Hospital, Denmark Hill, London SE59RS, UK; rachel.westbrook{at}

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Clinical case

A 56-year-old man with moderate fibrosis (F4, Ishak Fibrosis Score) secondary to non-alcohol-related fatty liver disease was transferred to our centre for the management of bleeding gastric varices. At the time of his index variceal bleed in June 2008, oesophago-gastro-duodenoscopy (OGD) demonstrated a large bleeding type 2 gastro-oesophageal fundal varix. Haemostasis was achieved with the injection of N-butyl-2-cyanoacrylate (histoacryl glue) and lipoidal and commencement of β blockers. He remained well until March 2010 when he represented with haematemesis. …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.