Gastric Ulcer - A Cause of Portal Cavernoma and Upper Gastrointestinal Bleeding: Case ReportLaurențiu V Sima*, Alexandra C Sima, Radu G Dan and Octavian M Crețu
Victor Babeș University of Medicine and Pharmacy Timișoara, Romania
- *Corresponding Author:
- Laurențiu Vasile Sima
Timișoara, P-ta Eftimie Murgu,no.2, Romania
E-mail: [email protected]
Received Date: April 14, 2014; Accepted Date: October 17, 2014; Published Date: October 22,2014
Citation: Laurențiu VS, Alexandra CS, Dan RG, Crețu OM. Gastric Ulcer - A Cause of Portal Cavernoma and Upper Gastrointestinal Bleeding: Case Report. Journal of Surgery [Jurnalul de chirurgie] 2014; 10(3):225-226. doi: 10.7438/1584-9341-10-3-10
Copyright: ©2013 Jung YG. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Gastric ulcers, with a long duration of the disease, can lead to an inflammatory process in the upper abdomen (supramesocolic floor), with repercussions on the surrounding structures. Such ulcers can penetrate the gastric wall, toward the pancreas and hepatic hilum, the inflammatory process can lead to splenic vein trombosis and teh appearance of a portal cavernoma. A complication of the portal cavernoma and the portal hypertension is the formation of esophageal varices. This paper reports the case of a 58 years old patient with multiple episodes of upper gastrointestinal bleeding, determined by both, esophageal varices and existing gastric ulcers. This patient was initially diagnosed with portal cavernoma and the esophageal varices were considered the cause of gastrointestinal bleeding. A spleno-renal shunt was proposed, but intraoperative it was found that this was not necessary because the portal vein was thrombosed and the bleeding was probably caused by the gastric lesions. We performed a distal spleno-pancreatectomy associated with a cuneiform resection of the gastric lession, as well as the resection of the hepatic tumor. The patient had a favorable postoperative outcome.