Document Detail

Isolated gastric varices due to focal splenic vein stenosis.
MedLine Citation:
PMID:  15340666     Owner:  NLM     Status:  MEDLINE    
Left-sided portal hypertension due to splenic vein stenosis is a very rare disease. We report a case of this condition in a 21-year-old woman who suffered from a first episode of tarry stool passage with fresh blood vomiting. Panendoscopy showed isolated gastric varices while sonography showed a normal liver but the presence of splenomegaly with prominent collateral circulations. Further imaging studies, including abdominal computed tomography, splenoportography and percutaneous transhepatic portography, revealed a focal stenotic proximal splenic vein resulting in left-sided portal hypertension. The collateral circulation ran from the short gastric veins via the left gastric veins into the main portal vein. The intraportal venous pressure was within normal limits. Splenectomy was performed and near normal wedge liver biopsy pathology confirmed non-cirrhotic extrahepatic portal hypertension. The patient had no further variceal bleeding after surgery.
Hock-Khiam Wong; Hsing-Tao Kuo; Sun-Lung Tsai; Yih-Huei Uen; Wen-Sheng Tzeng
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  103     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-09-01     Completed Date:  2005-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  640-3     Citation Subset:  IM    
Division of Gastroenterology, Department of Internal Medicine, Chi-Mei Foundation Hospital, Tainan, Taiwan.
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MeSH Terms
Constriction, Pathologic / diagnosis
Esophageal and Gastric Varices / etiology*
Gastrointestinal Hemorrhage / etiology*
Hypertension, Portal / etiology
Splenic Vein / pathology*

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