%0 Journal Article
%T Blood Vomiting After Work on Spray Paint
%A Chao He
%A Liang-Liang Fang
%A Yue Zhou
%A Zhong Jia
%J Journal of Surgery | Open Access Journal | Peer Reviewed Articles
%D 2018
%R http://dx.doi.org/10.15226/2376-4570/5/1/00152
%X A 51-year-old woman suffered from a first episode of fresh blood vomiting and discomfort of abdominal distention after 2 years working on spray paint in a private furniture factory in China mainland. Meanwhile, we don¡¯t find any sign of swollen skin and other complications and she denied the feeling of itch. She repeatedly complained that her health went worse gradually since she began to work on spray paint, when compared to her previous medical health record. Hence, she highly suspected her symptoms might be associated with her work environment or some paint solvents. She and her family hoped clinicians could confirm or exclude her suspicion during therapeutic course in this admission. Her words arouse our great interest, and we decided to decode the conundrum. Amazingly, no specific clues were obtained from her family history, appetites, general laboratory tests. Further enhanced contrast computed tomography of abdomen showed special findings ,including isolated gastric varices, major portal vein thrombosis(red arrowhead), focal splenic vein stenosis (blue arrowhead), and splenomegalia complied with focal splenic, but myelofibrosis was confirmed by bone marrow biopsy, and the expression of JAK2-V617F was detected in her peripheral blood sample (Figure A)
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