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An interesting case where the rare and elusive PHC was diagnosed on colonoscopy, which led to the diagnosis of liver cirrhosis without evidence of oesophageal varices. Although PHC is most common in patients with cirrhosis, it is likely still underdiagnosed, given the current stepwise treatment approach of these cirrhotic patients often leads to treatment of the PHC alongside PHG without establishing a diagnosis. Instead, this case presents a generalised approach to patients with underlying portal and sinusoidal hypertension due to a variety of causes, and the endoscopic and radiological findings, which lead to their successful diagnosis and medical management of the gastrointestinal bleeding.<\/jats:p>","DOI":"10.1093\/jscr\/rjad114","type":"journal-article","created":{"date-parts":[[2023,3,8]],"date-time":"2023-03-08T01:11:13Z","timestamp":1678237873000},"source":"Crossref","is-referenced-by-count":2,"title":["Newly diagnosed cirrhosis secondary to gastrointestinal bleed due to portal hypertensive colopathy"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4588-0534","authenticated-orcid":false,"given":"Nestor","family":"Sabat","sequence":"first","affiliation":[{"name":"Department of General Surgery, Mackay Base Hospital , Mackay , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bettina","family":"Schulze","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Mackay Base Hospital , Mackay , Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,3,7]]},"reference":[{"key":"2023030801105847400_","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/j.cld.2019.07.002","article-title":"An update: portal hypertensive gastropathy and Cclopathy","volume":"23","author":"Rockey","year":"2019","journal-title":"Clin Liver Dis"},{"key":"2023030801105847400_","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.cld.2014.01.008","article-title":"Portal hypertensive gastropathy and colopathy","volume":"18","author":"Urrunaga","year":"2014","journal-title":"Clin Liver Dis"},{"key":"2023030801105847400_","doi-asserted-by":"crossref","first-page":"1774","DOI":"10.1007\/BF01296624","article-title":"Portal hypertensive colopathy. 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