Idiopathic Splenic Vein Thrombosis Presenting as Splenic Infarction and Consequent Gastric Variceal Bleeding.
10.12997/jla.2014.3.2.111
- Author:
You Bin LEE
1
;
Sung Mok KIM
;
Jin Seok HEO
;
Hyeri SEOK
;
In Seub SHIN
;
Yeong Hee EUN
;
Duk Kyung KIM
Author Information
1. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Splenic vein thrombosis;
Left-sided portal hypertension;
Gastric varices;
Splenic infarction
- MeSH:
Esophageal and Gastric Varices*;
Female;
Flank Pain;
Follow-Up Studies;
Gastrointestinal Hemorrhage;
Hemorrhage;
Humans;
Hypertension, Portal;
Splenectomy;
Splenic Infarction*;
Splenic Vein*;
Thrombosis*;
Young Adult
- From:Journal of Lipid and Atherosclerosis
2014;3(2):111-115
- CountryRepublic of Korea
- Language:English
-
Abstract:
Left-sided portal hypertension and consequent gastric varices can occur in patients with isolated splenic vein thrombosis. It is a rare but clinically significant and curable cause of gastrointestinal hemorrhage. Our patient, a 20-year-old woman, with left flank pain was diagnosed with having idiopathic splenic vein thrombosis with resultant splenic infarction. Thorough workups for the possible etiologies of splenic vein thrombosis were all negative. After six months of anticoagulation, follow-up computed tomography revealed formation of gastric varices; one month following the discovery, she developed gastrointestinal bleeding. Splenectomy was performed, resulting in the resolution of gastric varices.
