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Isolated Gastric Varix Bleeding Caused by Splenic Vein Obstruction: Two Case Reports

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Abstract
Isolated left-sided portal hypertension is a rare clinical syndrome caused by splenic veno-occlusive disease. Splenic vein thrombosis and extrinsic compression causes proximal splenic vein hypertension, and the splenic blood flows into the superior mesenteric or portal vein through the upper stomach’s collateral vessels, such as the short gastric, coronary, and gastroepiploic veins. Open splenectomy is recommended to treat gastrointestinal bleeding caused by isolated left-sided portal hypertension. Interventional management could be a clinically useful option for selected patients who want to avoid surgical corrections. The report presents two cases of left-sided portal hypertension with gastric variceal bleeding.
Issued Date
2023
Juyoung Pak
Sangjoon Lee
Hyoung Nam Lee
Dongho Hyun
Sung-Joon Park
Youngjong Cho
Type
Article
Keyword
Esophageal and Gastric VaricesSplenic VeinHemorrhageAngioplastyTherapeutic Embolization
DOI
10.3348/jksr.2022.0059
URI
https://oak.ulsan.ac.kr/handle/2021.oak/17650
Publisher
대한영상의학회지
Language
영어
ISSN
1738-2637
Citation Volume
84
Citation Number
1
Citation Start Page
291
Citation End Page
297
Appears in Collections:
Medicine > Nursing
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