A 74-Year-Old Man Presented to the Emergency Department Due to an Episode

A 74-year-old man presented to the emergency department due to an episode of bloody vomiting. The patient is known to have alcohol use disorder, he consumes 5 cans of beer daily. Temperature is 36.7 C (98 F) , blood pressure is 90/60 mm Hg, the pulse is 120/min, and respirations are 23/min. On examination, the patient has yellowish skin and scleral discoloration. Abdominal examination shows an enlarged spleen. Upper gastrointestinal endoscopy shows bleeding in dilated tortuous veins found in the esophagus. This patient's presentation is due to shunting of blood through which of the following structures?

A) Left gastric
B) Paraumbilical
C) Right gastroepiploic
D) Splenic
E) Superficial epigastric

Correct Answer:

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