Laparoscopic Splenectomy for a Patient with Splenomegaly and Hypersplenism due to Idiopathic Portal Hypertension.
10.7602/jmis.2017.20.3.113
- Author:
Kwangho YANG
1
;
Sung Pil YUN
;
Jae Hun KIM
;
Dae Hwan KIM
;
Hyun Sung KIM
;
Hyung Il SEO
Author Information
1. Division of Hepato-Biliary-Pancreatic Surgery and Transplantation, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
- Publication Type:Case Report
- Keywords:
Idiopathic portal hypertension;
Splenomegaly;
Laparoscopic splenectomy
- MeSH:
Adult;
Clinical Protocols;
Female;
Humans;
Hypersplenism*;
Hypertension, Portal*;
Liver Cirrhosis;
Splenectomy*;
Splenomegaly*
- From:Journal of Minimally Invasive Surgery
2017;20(3):113-116
- CountryRepublic of Korea
- Language:English
-
Abstract:
Idiopathic portal hypertension (IPH) is a rare disorder which is clinically characterized by portal hypertension, splenomegaly, hypersplenism and the absence of liver cirrhosis. Patients with IPH have massive splenomegaly leading to increased portal venous flow and subsequent portal hypertension. In selected IPH patients with splenomegaly and hypersplenism, splenectomy can be regarded as an effective treatment protocol for decreasing portal hypertension. We report a case of a 44-year-old woman who was diagnosed with IPH accompanied by splenomegaly and hypersplenism. She underwent laparoscopic splenectomy and clinical symptoms and hypersplenism resolved. Our study shows that laparoscopic splenectomy can be considered as a procedure for treating patients with splenomegaly and hypersplenism due to IPH.