Abstract
Left-sided portal hypertension (LSPH) followed by acute pancreatitis is a rare condition with most patients being asymptomatic. In cases where gastrointestinal (GI) bleeding is present, however, the condition is more complicated and the mortality is very high because of the difficulty in diagnosing and selecting optimal treatment. A successfully treated case with severe GI bleeding by transcatheter splenic artery embolization is reported in this article. The patient exhibited severe uncontrollable GI bleeding and was confirmed as gastric varices secondary to LSPH by enhanced computed tomography (CT) scan and CT-angiography. After embolization, the bleeding stopped and stabilized for the entire follow-up period without any severe complications. In conclusion, embolization of the splenic artery is a simple, safe, and effective method of controlling gastric variceal bleeding caused by LSPH in acute pancreatitis.
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Project supported by the National Natural Science Foundation of China (No. 30901445), the Zhejiang Provincial Natural Science Foundation (No. Y2100285), and the Specialized Research Fund for the Doctoral Program of Higher Education (No. 20090101120122), China
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Li, Zy., Li, B., Wu, Yl. et al. Acute pancreatitis associated left-sided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization: a case report and literature review. J. Zhejiang Univ. Sci. B 14, 549–554 (2013). https://doi.org/10.1631/jzus.B1200247
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DOI: https://doi.org/10.1631/jzus.B1200247
Key words
- Left-sided portal hypertension (LSPH)
- Gastric varices
- Acute pancreatitis
- Gastrointestinal bleeding
- Splenic artery embolization (SAE)