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KMID : 1036020140030020111
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지질.동맥경화학회지
2014 Volume.3 No. 2 p.111 ~ p.115
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Idiopathic Splenic Vein Thrombosis Presenting as Splenic Infarction and Consequent Gastric Variceal Bleeding
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Lee You-Bin
Kim Sung-Mok
Heo Jin-Seok
Seok Hye-Ri
Shin In-Seub
Eun Yeong-Hee
Kim Duk-Kyung
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Abstract
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Left-sided portal hypertension and consequent gastric varices can occur in patients with isolated splenic vein thrombosis. It is a rare but clinically significant and curable cause of gastrointestinal hemorrhage. Our patient, a 20-year-old woman, with left flank pain was diagnosed with having idiopathic splenic vein thrombosis with resultant splenic infarction. Thorough workups for the possible etiologies of splenic vein thrombosis were all negative. After six months of anticoagulation, follow-up computed tomography revealed formation of gastric varices; one month following the discovery, she developed gastrointestinal bleeding. Splenectomy was performed, resulting in the resolution of gastric varices.
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KEYWORD
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Splenic vein thrombosis, Left-sided portal hypertension, Gastric varices, Splenic infarction
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FullTexts / Linksout information
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Listed journal information
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