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T1 Age 2 13 41-year-old T2 Sex 14 17 man T3 History 36 46 alcoholism T4 Duration 51 59 10 years E1 Duration:T4 R1 MODIFY Arg1:E1 Arg2:T3 T5 History 64 69 sober T6 Duration 78 90 last 3 years E2 Duration:T6 R2 MODIFY Arg1:E2 Arg2:T5 T7 History 92 124 recurrent alcoholic pancreatitis T8 History 130 152 no known liver disease T9 Sign_symptom 189 200 hematemesis E3 Sign_symptom:T9 T10 Detailed_description 169 185 several episodes R3 MODIFY Arg1:T10 Arg2:E3 T11 Sign_symptom 215 219 pain E4 Sign_symptom:T11 T12 Biological_structure 205 214 abdominal R4 MODIFY Arg1:T12 Arg2:E4 T13 Duration 224 230 2 days E5 Duration:T13 R5 MODIFY Arg1:E5 Arg2:E4 R6 MODIFY Arg1:E5 Arg2:E3 T14 Diagnostic_procedure 232 258 Esophagogastroduodenoscopy E6 Diagnostic_procedure:T14 T15 Diagnostic_procedure 260 263 EGD E7 Diagnostic_procedure:T15 R7 IDENTICAL Arg1:E7 Arg2:E6 T16 Date 276 291 3 years earlier E8 Date:T16 R8 MODIFY Arg1:E8 Arg2:E6 T17 Sign_symptom 306 310 pain E9 Sign_symptom:T17 T18 Biological_structure 296 305 abdominal R9 MODIFY Arg1:T18 Arg2:E9 R10 MODIFY Arg1:E8 Arg2:E9 T19 Sign_symptom 339 346 varices E10 Sign_symptom:T19 T20 Sign_symptom 356 363 varices E11 Sign_symptom:T20 T21 Disease_disorder 385 396 gastropathy E12 Disease_disorder:T21 T22 Sign_symptom 410 417 lesions E13 Sign_symptom:T22 T23 Biological_structure 328 338 esophageal R11 MODIFY Arg1:T23 Arg2:E10 A1 POLARITY E10 NEG T24 Biological_structure 348 355 gastric R12 MODIFY Arg1:T24 Arg2:E11 A2 POLARITY E11 NEG T25 Detailed_description 372 384 hypertensive T26 Biological_structure 365 371 portal R13 MODIFY Arg1:T25 Arg2:E12 R14 MODIFY Arg1:T26 Arg2:E12 A3 POLARITY E12 NEG T27 Biological_structure 407 409 GI R15 MODIFY Arg1:T27 Arg2:E13 A4 POLARITY E13 NEG T28 Diagnostic_procedure 419 439 Physical examination E14 Diagnostic_procedure:T28 T29 Diagnostic_procedure 451 465 blood pressure E15 Diagnostic_procedure:T29 T30 Lab_value 468 480 100/60 mm Hg R16 MODIFY Arg1:T30 Arg2:E15 T31 Diagnostic_procedure 482 487 pulse E16 Diagnostic_procedure:T31 T33 Sign_symptom 507 515 jaundice E17 Sign_symptom:T33 A5 POLARITY E17 NEG T35 Diagnostic_procedure 682 700 Rectal examination E18 Diagnostic_procedure:T35 T32 Sign_symptom 520 553 stigmata of chronic liver disease E19 Sign_symptom:T32 A6 POLARITY E19 NEG T34 Sign_symptom 617 627 tenderness E20 Sign_symptom:T34 A7 POLARITY E20 NEG T36 Detailed_description 609 616 rebound R17 MODIFY Arg1:T36 Arg2:E20 T37 Biological_structure 562 569 abdomen R18 MODIFY Arg1:T37 Arg2:E20 T38 Sign_symptom 642 647 bruit E21 Sign_symptom:T38 A8 POLARITY E21 NEG T39 Biological_structure 632 641 abdominal R19 MODIFY Arg1:T39 Arg2:E21 T40 Biological_structure 666 675 abdominal T41 Detailed_description 656 665 pulsatile T42 Sign_symptom 676 680 mass E22 Sign_symptom:T42 A9 POLARITY E22 NEG R20 MODIFY Arg1:T41 Arg2:E22 R21 MODIFY Arg1:T40 Arg2:E22 T43 Date 2654 2671 Eight weeks later E23 Date:T43 T44 Diagnostic_procedure 2698 2708 hemoglobin E24 Diagnostic_procedure:T44 T45 Lab_value 2691 2697 stable R22 MODIFY Arg1:T45 Arg2:E24 T46 Sign_symptom 2734 2742 bleeding E25 Sign_symptom:T46 A10 POLARITY E25 NEG T47 Biological_structure 2731 2733 GI R23 MODIFY Arg1:T47 Arg2:E25 T48 Sign_symptom 557 561 soft E26 Sign_symptom:T48 R24 MODIFY Arg1:T37 Arg2:E26 T49 Sign_symptom 591 601 tenderness E27 Sign_symptom:T49 T50 Biological_structure 580 590 epigastric R25 MODIFY Arg1:T50 Arg2:E27 T51 Severity 575 579 mild R26 MODIFY Arg1:T51 Arg2:E27 T52 Sign_symptom 716 722 melena E28 Sign_symptom:T52 T53 Diagnostic_procedure 724 740 Laboratory tests E29 Diagnostic_procedure:T53 T54 Diagnostic_procedure 750 760 hemoglobin E30 Diagnostic_procedure:T54 T55 Lab_value 763 772 12.5 g/dL R27 MODIFY Arg1:T55 Arg2:E30 T56 Diagnostic_procedure 774 783 platelets E31 Diagnostic_procedure:T56 T57 Lab_value 786 796 301,000/mL R28 MODIFY Arg1:T57 Arg2:E31 T58 Diagnostic_procedure 798 801 INR E32 Diagnostic_procedure:T58 T59 Diagnostic_procedure 803 833 international normalized ratio E33 Diagnostic_procedure:T59 R29 IDENTICAL Arg1:E33 Arg2:E32 T60 Lab_value 837 840 1.0 R30 MODIFY Arg1:T60 Arg2:E32 T61 Diagnostic_procedure 842 861 blood urea nitrogen E34 Diagnostic_procedure:T61 T62 Lab_value 864 872 20 mg/dL R31 MODIFY Arg1:T62 Arg2:E34 T63 Diagnostic_procedure 878 888 creatinine E35 Diagnostic_procedure:T63 T64 Diagnostic_procedure 1090 1100 hemoglobin E36 Diagnostic_procedure:T64 T65 Lab_value 1101 1117 declined acutely T66 Lab_value 1121 1129 9.3 g/dL R32 MODIFY Arg1:T65 Arg2:E36 R33 MODIFY Arg1:T66 Arg2:E36 T67 Diagnostic_procedure 1147 1170 computerized tomography E37 Diagnostic_procedure:T67 T68 Diagnostic_procedure 1172 1174 CT E38 Diagnostic_procedure:T68 R34 IDENTICAL Arg1:E38 Arg2:E37 T69 Biological_structure 1131 1146 Abdomino-pelvic R35 MODIFY Arg1:T69 Arg2:E37 T70 Detailed_description 1182 1203 intravenous contrast, R36 MODIFY Arg1:T70 Arg2:E37 T71 Distance 1215 1219 5-cm T72 Detailed_description 1226 1235 irregular T73 Sign_symptom 1263 1267 mass E39 Sign_symptom:T73 T74 Biological_structure 1237 1247 pancreatic T75 Biological_structure 1248 1262 peripancreatic R37 MODIFY Arg1:T75 Arg2:E39 R38 MODIFY Arg1:T74 Arg2:E39 R39 MODIFY Arg1:T72 Arg2:E39 R40 MODIFY Arg1:T71 Arg2:E39 T76 Sign_symptom 1269 1280 compressing E40 Sign_symptom:T76 R41 CAUSE Arg1:E39 Arg2:E40 T77 Biological_structure 1290 1321 lesser curvature of the stomach R42 MODIFY Arg1:T77 Arg2:E40 T78 Biological_structure 1330 1332 SV #1 AnnotatorNotes T78 splenic vein R43 MODIFY Arg1:T78 Arg2:E40 T79 Diagnostic_procedure 1355 1366 portal vein E41 Diagnostic_procedure:T79 T80 Diagnostic_procedure 1379 1395 liver parenchyma E42 Diagnostic_procedure:T80 T81 Lab_value 1372 1378 normal R44 MODIFY Arg1:T81 Arg2:E42 T82 Lab_value 1348 1354 normal R45 MODIFY Arg1:T82 Arg2:E41 T83 Sign_symptom 1404 1415 compression E43 Sign_symptom:T83 T84 Biological_structure 1401 1403 SV R46 MODIFY Arg1:T84 Arg2:E43 T85 Lab_value 1420 1452 pathophysiologically significant R47 MODIFY Arg1:T85 Arg2:E43 T86 Sign_symptom 1481 1491 dilatation E44 Sign_symptom:T86 T87 Biological_structure 1469 1480 proximal SV R48 MODIFY Arg1:T87 Arg2:E44 T88 Diagnostic_procedure 1493 1496 EGD E45 Diagnostic_procedure:T88 T89 Biological_structure 1513 1529 proximal stomach R49 MODIFY Arg1:T89 Arg2:E45 T90 Disease_disorder 1635 1666 portal hypertensive gastropathy E46 Disease_disorder:T90 T91 Sign_symptom 1581 1588 network E47 Sign_symptom:T91 T92 Texture 1594 1611 snakeskin pattern R50 MODIFY Arg1:T92 Arg2:E47 T93 Biological_structure 1572 1579 mucosal T94 Shape 1561 1570 polygonal R51 MODIFY Arg1:T94 Arg2:E47 R52 MODIFY Arg1:T93 Arg2:E47 T95 Color 1549 1559 pale-white T96 Detailed_description 1532 1536 fine T97 Detailed_description 1538 1547 reticular R53 MODIFY Arg1:T95 Arg2:E47 R54 MODIFY Arg1:T97 Arg2:E47 R55 MODIFY Arg1:T96 Arg2:E47 T98 Sign_symptom 1685 1691 oozing E48 Sign_symptom:T98 T99 Sign_symptom 1718 1729 blood clots E49 Sign_symptom:T99 T100 Texture 1703 1716 coffee-ground R56 MODIFY Arg1:T100 Arg2:E49 T101 Severity 1693 1702 extensive R57 MODIFY Arg1:T101 Arg2:E49 T102 Biological_structure 1737 1744 stomach R58 MODIFY Arg1:T102 Arg2:E49 T103 Sign_symptom 1779 1786 varices E50 Sign_symptom:T103 T104 Sign_symptom 1795 1824 stigmata of recent hemorrhage E51 Sign_symptom:T104 A11 POLARITY E51 NEG T105 Sign_symptom 1826 1829 SRH E52 Sign_symptom:T105 R59 IDENTICAL Arg1:E52 Arg2:E51 T106 Biological_structure 1752 1759 gastric T107 Biological_structure 1760 1767 cardial T108 Biological_structure 1772 1778 fundal R60 MODIFY Arg1:T107 Arg2:T106 R61 MODIFY Arg1:T108 Arg2:T106 R62 MODIFY Arg1:T106 Arg2:E50 T109 Sign_symptom 1850 1857 varices E53 Sign_symptom:T109 A12 POLARITY E53 NEG T110 Biological_structure 1839 1849 esophageal R63 MODIFY Arg1:T110 Arg2:E53 T111 Coreference 1882 1886 mass E54 Coreference:T111 R64 IDENTICAL Arg1:E54 Arg2:E39 T112 Sign_symptom 1911 1916 bulge E55 Sign_symptom:T112 R65 CAUSE Arg1:E54 Arg2:E55 T113 Shape 1905 1910 round R66 MODIFY Arg1:T113 Arg2:E55 T114 Detailed_description 1898 1903 large R67 MODIFY Arg1:T114 Arg2:E55 T115 Biological_structure 1917 1970 extending into the lumen of the proximal gastric body T116 Biological_structure 1981 1997 lesser curvature R68 MODIFY Arg1:T116 Arg2:T115 R69 MODIFY Arg1:T115 Arg2:E55 T117 Diagnostic_procedure 2007 2051 Magnetic resonance cholangio-pancreatography E56 Diagnostic_procedure:T117 T118 Diagnostic_procedure 2053 2057 MRCP E57 Diagnostic_procedure:T118 R70 IDENTICAL Arg1:E57 Arg2:E56 T119 Distance 2070 2074 5-cm T120 Detailed_description 2081 2090 enhancing T121 Sign_symptom 2101 2105 mass E58 Sign_symptom:T121 T122 Biological_structure 2092 2100 vascular R71 MODIFY Arg1:T122 Arg2:E58 R72 MODIFY Arg1:T120 Arg2:E58 R73 MODIFY Arg1:T119 Arg2:E58 T123 Biological_structure 2113 2133 arising from the LGA T124 Biological_structure 2146 2209 between the gastric lesser curvature and distal pancreatic body R74 MODIFY Arg1:T123 Arg2:E58 R75 MODIFY Arg1:T124 Arg2:E58 T125 Sign_symptom 2211 2222 compressing E59 Sign_symptom:T125 T126 Sign_symptom 2236 2247 compressing E60 Sign_symptom:T126 T127 Biological_structure 2227 2234 stomach R76 MODIFY Arg1:T127 Arg2:E59 T128 Biological_structure 2252 2261 middle SV R77 MODIFY Arg1:T128 Arg2:E60 T129 Sign_symptom 2286 2302 collateral veins E61 Sign_symptom:T129 T130 Detailed_description 2280 2285 large R78 MODIFY Arg1:T130 Arg2:E61 T131 Biological_structure 2316 2318 SV T132 Biological_structure 2328 2352 superior mesenteric vein R79 MODIFY Arg1:T131 Arg2:E61 R80 MODIFY Arg1:T132 Arg2:E61 T133 Diagnostic_procedure 2376 2386 ultrasound E62 Diagnostic_procedure:T133 T134 Biological_structure 2366 2375 Abdominal R81 MODIFY Arg1:T134 Arg2:E62 T135 Detailed_description 2392 2407 Doppler studies R82 MODIFY Arg1:T135 Arg2:E62 T136 Disease_disorder 2496 2498 PA E63 Disease_disorder:T136 #2 AnnotatorNotes E63 pseudoaneurysm T137 Detailed_description 2490 2495 large R83 MODIFY Arg1:T137 Arg2:E63 T138 Detailed_description 2421 2426 large T139 Detailed_description 2428 2437 turbulent T140 Sign_symptom 2447 2451 flow E64 Sign_symptom:T140 T141 Biological_structure 2438 2446 arterial R84 MODIFY Arg1:T141 Arg2:E64 R85 MODIFY Arg1:T139 Arg2:E64 R86 MODIFY Arg1:T138 Arg2:E64 T142 Coreference 2471 2475 mass E65 Coreference:T142 R87 IDENTICAL Arg1:E65 Arg2:E58 T143 Biological_structure 2462 2470 vascular R88 MODIFY Arg1:T143 Arg2:E65 T144 Diagnostic_procedure 2517 2528 arteriogram E66 Diagnostic_procedure:T144 T145 Detailed_description 2508 2516 Visceral R89 MODIFY Arg1:T145 Arg2:E66 A13 POLARITY E63 UNCERTAIN T146 Disease_disorder 2556 2558 PA E67 Disease_disorder:T146 T147 Volume 2538 2555 5.3 × 2.2-cm-wide R90 MODIFY Arg1:T147 Arg2:E67 T148 Biological_structure 2574 2584 LGA branch #3 AnnotatorNotes T148 left gastric artery R91 MODIFY Arg1:T148 Arg2:E67 T149 Therapeutic_procedure 2605 2614 embolized E68 Therapeutic_procedure:T149 T150 Therapeutic_procedure 2619 2627 occluded E69 Therapeutic_procedure:T150 T151 Detailed_description 2633 2643 microcoils R92 MODIFY Arg1:T151 Arg2:E69 R93 MODIFY Arg1:T151 Arg2:E68 T152 Diagnostic_procedure 2763 2774 angiography E70 Diagnostic_procedure:T152 T153 Detailed_description 2760 2762 CT R94 MODIFY Arg1:T153 Arg2:E70 T154 Biological_structure 2744 2759 Abdomino-pelvic R95 MODIFY Arg1:T154 Arg2:E70 T155 Disease_disorder 2792 2794 PA E71 Disease_disorder:T155 T156 Detailed_description 2831 2860 contained numerous microcoils R96 MODIFY Arg1:T156 Arg2:E71 T157 Lab_value 2808 2829 decreased in diameter R97 MODIFY Arg1:T157 Arg2:E71 T158 Detailed_description 2870 2883 no blood flow R98 MODIFY Arg1:T158 Arg2:E71 T159 Clinical_event 154 163 presented E72 Clinical_event:T159 R99 AFTER Arg1:E72 Arg2:E3 * OVERLAP E3 E4 E5 R100 AFTER Arg1:E5 Arg2:E6 * OVERLAP E6 E8 E9 E10 E11 E12 E13 R101 BEFORE Arg1:E13 Arg2:E14 R102 SUB_PROCEDURE Arg1:E15 Arg2:E14 R103 SUB_PROCEDURE Arg1:E16 Arg2:E14 T160 Lab_value 490 502 60 beats/min R104 MODIFY Arg1:T160 Arg2:E16 * OVERLAP E14 E17 E19 E26 E27 E20 E21 E22 E18 E28 E29 R105 SUB_PROCEDURE Arg1:E30 Arg2:E29 R106 SUB_PROCEDURE Arg1:E31 Arg2:E29 R107 SUB_PROCEDURE Arg1:E32 Arg2:E29 R108 SUB_PROCEDURE Arg1:E34 Arg2:E29 R109 SUB_PROCEDURE Arg1:E35 Arg2:E29 T161 Diagnostic_procedure 902 934 Serum aspartate aminotransferase E73 Diagnostic_procedure:T161 T163 Diagnostic_procedure 946 970 alanine aminotransferase E74 Diagnostic_procedure:T163 T164 Lab_value 973 980 16 IU/L R111 MODIFY Arg1:T164 Arg2:E74 T165 Diagnostic_procedure 982 997 total bilirubin E75 Diagnostic_procedure:T165 T166 Lab_value 1000 1009 0.6 mg/dL R112 MODIFY Arg1:T166 Arg2:E75 T167 Lab_value 891 900 1.1 mg/dL R113 MODIFY Arg1:T167 Arg2:E35 T168 Diagnostic_procedure 1011 1031 alkaline phosphatase E76 Diagnostic_procedure:T168 T169 Lab_value 1034 1041 64 IU/L R114 MODIFY Arg1:T169 Arg2:E76 T170 Diagnostic_procedure 1043 1050 albumin E77 Diagnostic_procedure:T170 T171 Lab_value 1053 1062 4.4 gm/dL R115 MODIFY Arg1:T171 Arg2:E77 T172 Diagnostic_procedure 1068 1074 lipase E78 Diagnostic_procedure:T172 T173 Lab_value 1077 1084 32 U/dL R116 MODIFY Arg1:T173 Arg2:E78 R117 SUB_PROCEDURE Arg1:E73 Arg2:E29 R118 SUB_PROCEDURE Arg1:E74 Arg2:E29 R119 SUB_PROCEDURE Arg1:E75 Arg2:E29 R120 SUB_PROCEDURE Arg1:E76 Arg2:E29 R121 SUB_PROCEDURE Arg1:E77 Arg2:E29 R122 SUB_PROCEDURE Arg1:E78 Arg2:E29 R123 BEFORE Arg1:E29 Arg2:E36 * OVERLAP E36 E37 E39 E40 E41 E42 E43 E44 E45 E47 E46 E48 E49 E50 E51 E53 E54 E55 E56 E58 E59 E60 E61 E62 E64 E63 E66 E67 R124 BEFORE Arg1:E67 Arg2:E68 * OVERLAP E68 E69 R125 BEFORE Arg1:E69 Arg2:E23 * OVERLAP E23 E24 E25 R110 BEFORE Arg1:E25 Arg2:E70 * OVERLAP E70 E71 T162 Lab_value 936 944 21 IU/L R126 MODIFY Arg1:T162 Arg2:E73