Pancreatic mass leading to leftsided portal hypertension. The main aim of the present study is to summarize the clinical features of patients with sph. In 1902, gilbert and carnot introduced the term portal hypertension to describe. Case report multiple giant splenic artery aneurysms causing sinistral leftsided portal hypertension kemalbeksac 1 andderyakarakoc 2 general surgery department, dr. Pdf splenomegaly and left sided portal hypertension. In 1902, gilbert and carnot introduced the term portal hypertension to describe this condition. Sinistral, or left sided, portal hypertension is a rare cause of upper gastrointestinal haemorrhage. Sinistral, or leftsided, portal hypertension sph is a rare entity, with multiple potential causes.
The aim of this study was to evaluate how often left sided portal hypertension lph develops and how lph affects the longterm outcomes of patients with pancreatic cancer treated with pancreaticoduodenectomy pd and resection of the portal vein pvsuperior mesenteric vein smv confluence. Gastrointestinal variceal bleeding and hypersplenism are its. It usually occurs as a result of isolated obstruction of the splenic vein. It may be difficult to diagnose this entity both endoscopically and. Sinistral, or left sided, portal hypertension sph is a rare entity, with multiple potential causes. Introduction as early as the 17th century, it was realized that structural changes in the portal circulation could cause gastrointestinal bleeding. Abstractintroductionsinistral, or left sided, portal hypertension sph is a rare entity, with multiple potential causes. Leftsided portal hypertension should be considered in the presence of gastrointestinal bleeding with normal liver function and unexplained splenomegaly. Sinistral portal hypertension sph is also known as splenoportal, left sided, segmental, regional, localized, compartmental or lineal portal hypertension. Leftsided portal hypertension lsph, also known as segmental, regional, localized, compartmental, lineal, splenoportal, or sinistral hypertension is a rare, but. Upper gastrointestinal bleeding from gastroesoph ageal varices secondary to splenic vein thrombosis caused by pancreatitis is being recognized with in. Case report multiple giant splenic artery aneurysms. Sinistral, or leftsided, portal hypertension sph is a rare cause of upper gastrointestinal hemorrhage.
Isolated gastric varices result from thrombosis or obstruction of the splenic vein resulting in back pressure changes in the left portal system. Leftsided portal hypertension secondary to pancreatic. Left sided portal hypertension secondary to pancreatic cancer. Diagnostic work up revealed a chronic pancreatitisrelated splenic vein thrombosis causing leftsided portal hypertension with gastric fundus varices and splenic. Leftsided portal hypertension can be considered as a diagnosis in patient with upper gastrointestinal tract bleeding due to oesophageal varices, gastric varices, or.
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