Abstract Text
Gastric fundal varices are a less common but potentially severe cause of upper gastrointestinal bleeding. A 50-year-old woman with chronic alcohol use presented with hematemesis and melena. She was hemodynamically stable but had acute anemia. Laboratory tests revealed newly diagnosed cirrhosis with acute alcoholic hepatitis. Initial gastroscopy showed a large fundal varix without active bleeding. The patient underwent endoscopic cyanoacrylate injection. Follow-up gastroscopy and endoscopic ultrasound confirmed complete thrombosis of the treated GOV2 varix, with stable other gastric varices. Cyanoacrylate injection provided effective hemostasis for high-risk fundal varices, and early intervention with careful monitoring ensured a positive clinical outcome.