alexa Look to the Left: A Rare Case of Recurrent Upper GI Ble
ISSN: 2165-7920

Journal of Clinical Case Reports
Open Access

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Case Report

Look to the Left: A Rare Case of Recurrent Upper GI Bleeding

Sven Pannach1*, Stefan Brückner1, Florian Ehehalt2 and Jan Beyer Westendorf3

1Division of Gastroenterology, Dresden University Hospital, Germany

2Surgical Department, Dresden University Hospital, Germany

3Center for Vascular Diseases and Medical Clinic III, Germany

Corresponding Author:
Sven Pannach
Division of Gastroenterology
Dresden University Hospital, Germany
Tel: +493514582627
E-mail: [email protected]

Received April 26, 2016; Accepted May 23, 2016; Published May 27, 2016

Citation: Pannach S, Brückner S, Ehehalt F, Westendorf JB (2016) Look to the Left: A Rare Case of Recurrent Upper GI Bleeding. J Clin Case Rep 6:795. doi:10.4172/2165-7920.1000795

Copyright: © 2016 Pannach S, et al. 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.



We present the case of a 63 year old male who developed recurrent massive gastric varicose vein bleedingepisodes years after necrotising pancreatitis. Endoscopy revealed extensive gastric but no esophageal varices. Ultrasonographic findings included an enlarged spleen, normal portal vein diameter and flow and a regular liver texture without signs of cirrhosis. CT scan demonstrated massive perigastric and splenic collateral veins due to chronic splenic vein occlusion. Left-sided portal hypertension was diagnosed and the patient treated with splenectomy. In an endoscopic 2-year follow-up, gastric varicose veins have completely regressed and the patient has remained free of recurrent GI bleeding complications.


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