Sinistral Portal Hypertension Splenectomy or Expectant Management
نویسندگان
چکیده
منابع مشابه
Sinistral portal hypertension
Sinistral, or left-sided, portal hypertension is a rare cause of upper gastrointestinal haemorrhage. There are many causes of sinistral portal hypertension. The primary pathology usually arises in the pancreas and results in compression of the pancreatic vein. This compression causes backpressure in the left portal venous system and subsequent gastric varices. Management is usually surgical to ...
متن کاملPharyngeal Varices Secondary to Sinistral Portal Hypertension
A 60-year-old man presented with hematemesis. He had been diagnosed with pancreatic tail cancer and gastric varices due to sinistral portal hypertension, which had been observed on computed tomography (CT). An upper gastrointestinal endoscopy was undertaken to assess the gastric varices, and a recent gastric variceal bleed was suggested (Figure 1). Although splenectomy was a definitive therapy,...
متن کاملSinistral portal hypertension. A case report.
Sinistral portal hypertension is a clinical syndrome of gastric variceal hemorrhage in the setting of splenic vein thrombosis due to a primary pancreatic pathology. The distinguishing features from other forms of portal hypertension are preserved liver function and a patent extrahepatic portal vein. The important causes include acute and chronic pancreatitis, pancreatic pseudocysts and pancreat...
متن کاملPancreatic Adenocarcinoma Complicated by Sinistral Portal Hypertension
Pancreatic cancer is known for vague symptoms that lead to a delay in diagnosis, and hence most cases are found at an advanced stage. Many complications can happen secondary to pancreatic cancer including diabetes, malabsorption, and deep venous thrombosis. Sinistral (segmental or left-sided) portal hypertension (SPH) refers to portal hypertension confined to the left-sided segment of the porta...
متن کامل540Solid pseudopapillary tumor of pancreas causing sinistral portal hypertension
Solid-pseudopapillary tumour of the pancreas is a rare benign or low-grade malignant epithelial tumour that occurs mainly in young females. Pathologic and imaging findings include a well-defined, encapsulated pancreatic mass with cystic and solid components with hemorrhage. We report a 23-year-old woman that presented with epigastric pain of long duration and epigastric mass on palpation. MDCT ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Annals of Surgery
سال: 1993
ISSN: 0003-4932
DOI: 10.1097/00000658-199301000-00007