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ISSN 1405-0099 (Print)

2004, Number 2

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Cir Gen 2004; 26 (2)

Hemorrhages due to varices and segmental portal hypertension associated to thrombosis of the splenic vein

Moyeda BR, Sarmiento HO, Gutiérrez GG, Ortega AI, Zavala SR

Language: Spanish
References: 15
Page: 122-124
PDF size: 72.00 Kb.


ABSTRACT

Objective: To describe the case of a patient with hemorrhage due to gastric varices secondary to segmental portal hypertension as an infrequent complication of a previous acute pancreatitis episode.
Setting: Regional Specialties Hospital.
Description of case: Woman of 41 years of age, with antecedents of acute pancreatitis, who presented massive hematemesis. Endoscopy and cabinet studies were performed, which revealed hemorrhage from gastric varices, splenomegaly and absence of splenic vein filling secondary to thrombosis of splenic ileum filling, and was, therefore, subjected to surgical treatment with splenectomy and distal pancreatectomy.
Conclusion: Thrombosis of the splenic vein must be highly suspected in patients with bleeding of the upper digestive tract in the absence of hepatic disease data.


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