胰腺假性囊肿导致的窦状门静脉高压症：上消化道出血的罕见病因。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL

Journal of investigative medicine high impact case reports Pub Date : 2024-01-01 DOI:10.1177/23247096241231644

Lefika Bathobakae, Sacide S Ozgur, Arielle Aiken, Anas Mahmoud, Jessica Escobar, Gabriel Melki, Yana Cavanagh, Walid Baddoura

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引用次数: 0

摘要

窦性门静脉高压症（SPH）又称节段性门静脉高压症，是胰腺疾病的一种并发症，也是导致上消化道（GI）出血的一种极为罕见的原因。SPH 常见于无肝硬化的患者，由脾静脉血栓形成引起。无节制的血液倒流可能导致胃静脉充血，最终引发消化道出血。在此，我们报告了一例罕见的因 SPH 引起的大量吐血病例，患者为男性，有慢性胰腺炎和胰腺假性囊肿病史。我们的患者成功接受了内镜坏死切除术，随后进行了开腹脾切除术、胰腺远端切除术和胃部分切除术。

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Sinistral Portal Hypertension Due to a Pancreatic Pseudocyst: A Rare Cause of Upper Gastrointestinal Bleeding.

Sinistral portal hypertension (SPH), also known as segmental portal hypertension, is a complication of pancreatic disorders and an extremely rare cause of upper gastrointestinal (GI) bleeding. SPH is observed in patients without cirrhosis and arises from splenic vein thrombosis. Unmitigated backflow of blood may cause gastric venous congestion and ultimately GI hemorrhage. Herein, we report a rare case of massive hematemesis due to SPH in a male patient with a history of chronic pancreatitis and pancreatic pseudocyst. Our patient was successfully treated with endoscopic necrosectomy followed by open splenectomy, distal pancreatectomy, and partial gastric resection.

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来源期刊

Journal of investigative medicine high impact case reports MEDICINE, GENERAL & INTERNAL-

CiteScore

1.90

自引率

0.00%

发文量

165

审稿时长

12 weeks

期刊介绍： The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.