Sinistral Portal Hypertension: Presentation, Radiological Findings, and Treatment Options - A Case Report

Authors

  • Nima Kokabi
  • Edward Lee
  • Carlos Echevarria
  • Christopher Loh
  • Stephen T Kee

DOI:

https://doi.org/10.3941/jrcr.v4i10.512

Keywords:

Sinistral hypertension, left-sided portal hypertension, pancreatitis, upper gastro intestinal bleeding, UGI bleed

Abstract

Sinistral portal hypertension occurs when a pathological process causes occlusion of the splenic vein. The resultant elevated splenic bed venous pressure causes formation of gastric varices which can lead to hematemesis as a common presentation for this disease process. We present a case of sinistral portal hypertension in a patient with acute hematemesis as the primary presentation. Despite the challenging diagnosis process, the patient underwent splenectomy and was managed appropriately according to previously published literature.

Author Biographies

Nima Kokabi

Medical Student (4th year)

Northern Clinical School

Edward Lee

Department of Interventional Radiology at Ronald Reagan UCLA Health Center, Radiology Resident 

Carlos Echevarria

Department of Interventional Radiology at Ronald Reagan UCLA Health Center, Interventional Radiology Fellow

Christopher Loh

Department of Interventional Radiology at Ronald Reagan UCLA Health Center, Associate Clinical Professor

Stephen T Kee

Department of Interventional Radiology at Ronald Reagan UCLA Health Center, Associate Clinical Professor, Chief
Journal of Radiology Case Reports October 2010 issue. Pediatric Gastric Teratoma by Valenzuela-Ramos et al.

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Published

2010-09-26

Issue

Vol. 4 No. 10 (2010)

Section

Interventional Radiology

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