{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:25:47Z","timestamp":1787120747316,"version":"build-2736575974"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    A portal cavernoma is a network formed by localized dilation of the hepatic portal system. This study aims to describe a case of portal cavernoma in a 69\u2010year\u2010old adult presenting with gastrointestinal hemorrhage. This is a 69\u2010year\u2010old patient with no particular medical history admitted for hematemesis associated with diffuse abdominal pain. Clinical examination revealed blood pressure of 100\/60\u2009mmHg and tenderness in the epigastric region. Upper gastrointestinal endoscopy revealed a large bulbar ulcer in flare\u2010up.\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Helicobacter pylori<\/jats:italic>\n                    <\/jats:styled-content>\n                    testing in stool samples was positive. The initial diagnosis was a bulbar ulcer, and the patient was placed on treatment to eradicate\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>H. pylori<\/jats:italic>\n                    <\/jats:styled-content>\n                    . However, an abdominal ultrasound performed later suggested heterogeneous portal vein thrombosis, which was confirmed by abdominal CT scan. Given these findings, we made a diagnosis of portal cavernoma revealed by gastrointestinal hemorrhage. Treatment consisted of 40\u2009mg of injectable omeprazole every 12\u2009h, 40\u2009mg of propranolol per day, and one sachet of Gaviscon every 8\u2009h. Anticoagulation was initiated with enoxaparin and then continued with 4\u2009mg of acenocoumarol per day. The patient responded well to treatment, with regression of abdominal pain and gastrointestinal hemorrhage, and was discharged home after 10\u2009days following two stable INR readings. Although most commonly described in pediatrics, this clinical case sheds light on adult forms of the disease.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.73040","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T04:00:32Z","timestamp":1782792032000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["When a Bulbar Ulcer Hides a Darker Reality: The Unusual Diagnosis of a Portal Cavernoma in a 69\u2010Year\u2010Old Adult"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2047-1830","authenticated-orcid":false,"given":"Martin Wendlassida","family":"Nacanabo","sequence":"first","affiliation":[{"name":"Cardiology Department Bogodogo University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Arthur Tary\u00e8tba","family":"Seghda","sequence":"additional","affiliation":[{"name":"Cardiology Department Bogodogo University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aim\u00e9 Ars\u00e8ne","family":"Yam\u00e9ogo","sequence":"additional","affiliation":[{"name":"Cardiology Department Souro Sanou University Hospital  Bobo Dioulasso Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ella Hatoula","family":"Lengani","sequence":"additional","affiliation":[{"name":"Cardiology Department Souro Sanou University Hospital  Bobo Dioulasso Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adolphe Benjamin","family":"Zingu\u00e9 Ouattara","sequence":"additional","affiliation":[{"name":"Cardiology Department Pala University Hospital  Bobo Dioulasso Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aminata","family":"Guiarra","sequence":"additional","affiliation":[{"name":"Cardiology Department Pala University Hospital  Bobo Dioulasso Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yannick Laurent Tchenadoyo","family":"Bayala","sequence":"additional","affiliation":[{"name":"Rheumatology Department Bogodogo University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdoul Nassir","family":"Porgo","sequence":"additional","affiliation":[{"name":"Neurology Department Bogodogo University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdoul","family":"Aziz","sequence":"additional","affiliation":[{"name":"Rheumatology Department General Hospital  Garoua Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdoul Djalilou","family":"Traor\u00e9","sequence":"additional","affiliation":[{"name":"Internal Medicine Department Souro Sanou University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Tall\/Thiam","sequence":"additional","affiliation":[{"name":"Cardiology Department Bogodogo University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georges Christian","family":"Millogo","sequence":"additional","affiliation":[{"name":"Cardiology Department Yalgado Ouedraogo University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin Nobila","family":"Yam\u00e9ogo","sequence":"additional","affiliation":[{"name":"Cardiology Department Yalgado Ouedraogo University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Koudnoaga","family":"Samadoulougou","sequence":"additional","affiliation":[{"name":"Cardiology Department Bogodogo University Hospital  Ouagadougou Burkina Faso"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"e_1_2_10_2_1","article-title":"Portal Cavernoma in Children Revealed by Gastrointestinal Haemorrhage: A Case Report","volume":"25","author":"Basse I.","year":"2016","journal-title":"Pan African Medical Journal"},{"key":"e_1_2_10_3_1","volume-title":"Portal cavernoma in children (a report on 13 cases)","author":"Asma K. Y.","year":"2017"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/path.1700700108"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i13.2115"},{"issue":"1","key":"e_1_2_10_6_1","first-page":"31","article-title":"Le cavernome porte chez l'enfant: \u00e9tude de 19 observations","volume":"13","author":"Hachicha M.","year":"2003","journal-title":"Revue Maghr\u00e9bine de P\u00e9diatrie"},{"issue":"1","key":"e_1_2_10_7_1","article-title":"Cavernoma in Children: A Report of 11 Cases","volume":"19","author":"Ilham T.","year":"2014","journal-title":"Pan African Medical Journal"},{"issue":"2","key":"e_1_2_10_8_1","first-page":"4","article-title":"Portal Cavernoma in Children: A Case Study","volume":"2","author":"Ba A.","year":"2015","journal-title":"African and Malagasy Journal of Scientific Research\/Health Sciences"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-3944(02)00897-0"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0004-28032012000100012"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.1840150210"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.165.5.7572494"},{"issue":"8","key":"e_1_2_10_13_1","first-page":"791","article-title":"Profile of Extrahepatic Portal Venous Obstruction in Mumbai","volume":"47","author":"Bhandarkar P. V.","year":"1999","journal-title":"Journal of the Association of Physicians of India"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73040","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.73040","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.73040","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:35:14Z","timestamp":1787117714000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.73040"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/ccr3.73040"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.73040","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,29]]},"assertion":[{"value":"2025-12-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e73040"}}