Look to the Left: A Rare Case of Recurrent Upper GI Bleeding
- Corresponding Author:
- Sven Pannach
Division of Gastroenterology
Dresden University Hospital, Germany
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.