Neuroendocrine pancreatic carcinoma causing sinistral portal hypertension.
BACKGROUND
Non-functioning neuroendocrine pancreatic tumors are usually connected with non-specific syndromes.


METHODS
This case history presents the diagnosis and treatment of a non-functioning neuroendocrine pancreatic tumor causing sinistral portal hypertension and gastrointestinal bleeding in a 36-year-old man.


RESULTS
A peripheral resection of the pancreas with splenectomy was performed. Intraoperative examination of the specimen revealed a malignant neoplasm, probably neuroendocrinal carcinoma.


CONCLUSIONS
Peripheral resection of the pancreas with splenectomy treats not only the symptoms of segmental portal hypertension caused by pathology of this organ, but also allows the etiology of the disease to be determined.
Olakowski
M
M
Department of Digestive Tract Surgery, Silesian Medical University, Katowice, Poland.
Lampe
P
P
Bołdys
H
H
Słota
J
J
Olakowska
E
E
D000328:Adult; D000792:Angiography; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D006975:Hypertension, Portal / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D018358:Neuroendocrine Tumors / Q000150:complications* / Q000000981:diagnostic imaging; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed