Splenic hydatic cyst as a cause of sinistral portal hypertension and isolated gastric variceal bleeding
| Autor: | Ertan Bulbuloglu, Ali Cetinkaya, Bulent Kantarceken, Gulen Demirpolat |
|---|---|
| Přispěvatelé: | BÜLBÜLOĞLU, ERTAN |
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Splenectomy Esophageal and Gastric Varices Echinococcosis parasitic diseases Hypertension Portal medicine Humans Cyst Splenic Diseases medicine.diagnostic_test business.industry Gastroenterology Gastric varices Middle Aged medicine.disease Surgery Splenic vein Abdominal ultrasonography Portal hypertension Upper gastrointestinal bleeding Varices business Gastrointestinal Hemorrhage |
| Zdroj: | The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology. 21(3) |
| ISSN: | 2148-5607 |
| Popis: | A 60-year-old male, living in a rural area, presented with recurrent upper gastrointestinal bleeding. Isolated fundal varices were seen on endoscopy. A lesion similar to cyst hydatid was seen in the spleen on abdominal ultrasonography and computerized tomography scanning. Also, sinistral (left-sided) portal hypertension and collaterals were seen due to the compression of the splenic vein by the cyst. Indirect hemagglutination antibody test for Echinococcus granulosus was positive. By screening, no other cyst was found in any other site of the body. The patient underwent open abdominal surgery, and the anterior wall of the cyst was resected partially; within it were multiple daughter cysts and hydatid fluid. After decontamination of the daughter cysts and hydatid fluid, germinative membrane omentoplasty was performed with a part of the omentum. However, the patient suffered from recurrent gastrointestinal bleeding postoperatively and he was re-evaluated. Later, splenectomy was performed in order to relieve left-sided portal hypertension. The patient did not experience further bleeding and gastric varices disappeared following splenectomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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