title: A case of solid pseudopapillary neoplasm of the pancreas presenting with left-sided extrahepatic portal hypertension.
abstract: A 53-year-old woman was referred to our hospital for management of gastric varices that ran transversely across the greater curvature of the gastric body, detected during routine upper gastrointestinal endoscopy. CT identified a low-density calcified mass near the tail of the pancreas and the splenic hilum. Based on the results of radiographic and pathological investigations, the tumor was diagnosed as solid pseudopapillary neoplasm (SPN), and the gastric varices were considered to have developed secondary to occlusion of the splenic vein by the tumor mass. This is a rare case of SPN associated with splenic vein occlusion and left-sided extrahepatic portal hypertension.
authors: Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan. shin.n@d5.dion.ne.jp
authors: Shinichi
authors: S
authors: Nakamura
authors: Yukiko
authors: Y
authors: Takayama
authors: Yuko
authors: Y
authors: Kuboki
authors: Hiromi
authors: H
authors: Haruyama
authors: Maiko
authors: M
authors: Kishino
authors: Hiroyuki
authors: H
authors: Konishi
authors: Takashi
authors: T
authors: Hatori
authors: Toru
authors: T
authors: Furukawa
authors: Keiko
authors: K
authors: Shiratori
mesh_terms: D002291:Carcinoma, Papillary / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis*; D013162:Splenic Vein / Q000473:pathology*