| Autor: |
Young-Kon, Lambeck, H L Erik, van Westreenen, Bas L A M, Weusten, Robin, Timmer, Djamila, Boerma |
| Jazyk: |
Dutch; Flemish |
| Rok vydání: |
2012 |
| Předmět: |
|
| Zdroj: |
Nederlands tijdschrift voor geneeskunde. 156(34) |
| ISSN: |
1876-8784 |
| Popis: |
Haematemesis due to gastric fundal varices as a result of splenic vein thrombosis is rare. Splenic vein thrombosis may occur after pancreatitis and can lead to left-sided portal hypertension. Venous drainage from the spleen then occurs through the short gastric vessels, resulting in gastric varices.Gastroscopy was performed in a 31-year-old man for transgastric drainage of fluid which had accumulated after an episode of acute pancreatitis. A gastric blood clot and fundal varices were observed. Three days later, the patient experienced haematemesis and went into a state of shock. Gastroscopy showed a bleeding fundal varix which was treated by an injection of Lipiodol/Histoacryl. CT confirmed thrombosis of the splenic vein. Six weeks later, splenectomy was performed and no subsequent bleeding occurred.Haematemesis in patients with a history of chronic or acute pancreatitis can be a life-threatening expression of gastric fundal varices caused by splenic vein thrombosis. In cases of severe haemorrhaging, splenectomy is the treatment of choice. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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