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MBBS QUESTION #10195
Question 1
A patient with liver cirrhosis and portal hypertension develops hematemesis from bleeding esophageal varices. This results from a portosystemic anastomosis between the left gastric vein (portal system) and which systemic venous pathway?
  • Azygos vein, via the esophageal venous plexus✔️
  • Inferior vena cava directly
  • Splenic vein
  • Superior mesenteric vein
Correct Answer Explanation
In portal hypertension, the left gastric (portal) vein anastomoses with esophageal veins draining into the azygos vein (systemic); the resulting dilated, thin-walled submucosal esophageal varices are prone to life-threatening rupture and hemorrhage.