[A rare case of gastric bleeding due to left-sided portal hypertension].
The authors report an uncommon gastric bleeding rate due to splenic hilum compression by a pancreatic cyst. The syndrome to be brought back to some sectorial portal hypertension form (left-sided portal hypertension) is difficult to diagnose because of absence of esophageal varices and other portal hypertension signs in an unchanged liver functionality patient. To put a correct diagnosis about gastric bottom bleeding varices without hepatic origin, the authors recommend to use arteriography and CT. Surgical treatment is proved to be the election one because of useless attempt of bleeding control through hepatic artery endoscopic sclerosis or embolization.
Terrinoni
V
V
I Istituto di Clinica Chirurgica, Università degli Studi La Sapienza, Roma.
Bianchi
G
G
Lamazza
A
A
Manili
G
G
Bellini
N
N
Carbone
G
G
Rengo
M
M
D003951:Diagnostic Errors; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D010180:Pancreatectomy; D010181:Pancreatic Cyst / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013156:Splenectomy