title: Sinistral Portal Hypertension After Live Segmental Pancreas Donation: A Long-Term Sequelae Presenting With Life-Threatening Upper Gastrointestinal Hemorrhage.
abstract: BACKGROUND
  Variceal hemorrhage from sinistral portal hypertension has never been reported as a complication of live pancreas donation.
  
  
  METHODS
  We present a 68-year-old patient who underwent a simultaneous live-donor laparoscopic segmental pancreatectomy and nephrectomy for the purposes of donating to her daughter. Her postoperative course was significant for an episode of acute pancreatitis with a pseudocyst formation. More than a decade later, she presented with variceal hemorrhage from sinistral portal hypertension, which after a diagnostic work-up, prompted a laparoscopic splenectomy.
  
  
  CONCLUSIONS
  Sinistral portal hypertension is a long-term complication of live-donor pancreas donation.
authors.affiliation: Division of Transplantation, Department of Surgery, University of Minnesota, Minneapolis, Minnesota. Electronic address: serra061@umn.edu.
authors.forename: O K
authors.initials: OK
authors.lastname: Serrano
authors.affiliation: St. John's Medical College, Bengaluru, Karnataka, India.
authors.forename: R D
authors.initials: RD
authors.lastname: Cunha
authors.affiliation: Division of Anatomic Pathology, Department of Laboratory Medicine & Pathology, University of Minnesota, Minneapolis, Minnesota.
authors.forename: T
authors.initials: T
authors.lastname: Mettler
authors.affiliation: Division of Transplantation, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
authors.forename: D E R
authors.initials: DE
authors.lastname: Sutherland
authors.affiliation: Division of Transplantation, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
authors.forename: R
authors.initials: R
authors.lastname: Kandaswamy
mesh_terms: D000368:Aged; D004932:Esophageal and Gastric Varices / Q000209:etiology* / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology* / Q000601:surgery; D010179:Pancreas / Q000601:surgery; D016035:Pancreas Transplantation; D010180:Pancreatectomy / Q000009:adverse effects*; D010195:Pancreatitis / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D013156:Splenectomy / Q000379:methods; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods