Sinistral Portal Hypertension Due to a Pancreatic Pseudocyst: A Rare Cause of Upper Gastrointestinal Bleeding

被引：0

作者：

Bathobakae, Lefika ^{[1
,4
]}

Ozgur, Sacide S. ^{[1
]}

Aiken, Arielle ^{[1
]}

Mahmoud, Anas ^{[1
]}

Escobar, Jessica ^{[2
]}

Melki, Gabriel ^{[3
]}

Cavanagh, Yana ^{[3
]}

Baddoura, Walid ^{[3
]}

机构：

[1] St Josephs Univ Med Ctr, Internal Med Dept, Paterson, NJ USA

[2] St Josephs Univ Med Ctr, Med Lib Serv, Paterson, NJ USA

[3] St Josephs Univ Med Ctr, Gastroenterol & Hepatol, Paterson, NJ USA

[4] St Josephs Univ Med Ctr, Internal Med Dept, 165 Barclay St, Paterson, NJ 07503 USA

来源：

JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS | 2024年 / 12卷

关键词：

sinistral hypertension; gastric varices; left-sided hypertension; pancreatic pseudocyst; splenic vein thrombosis; splenectomy; pancreatectomy; gastric resection; splenic artery embolization;

D O I：

10.1177/23247096241231644

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Sinistral portal hypertension (SPH), also known as segmental portal hypertension, is a complication of pancreatic disorders and an extremely rare cause of upper gastrointestinal (GI) bleeding. SPH is observed in patients without cirrhosis and arises from splenic vein thrombosis. Unmitigated backflow of blood may cause gastric venous congestion and ultimately GI hemorrhage. Herein, we report a rare case of massive hematemesis due to SPH in a male patient with a history of chronic pancreatitis and pancreatic pseudocyst. Our patient was successfully treated with endoscopic necrosectomy followed by open splenectomy, distal pancreatectomy, and partial gastric resection.

引用

页数：4

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