KMID : 1103720230840010291
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Journal of the Korean Society of Radiology 2023 Volume.84 No. 1 p.291 ~ p.297
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Isolated Gastric Varix Bleeding Caused by Splenic Vein Obstruction: Two Case Reports
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Pak Ju-Young
Lee Sang-Joon Lee Hyoung-Nam Hyun Dong-Ho Park Sung-Joon Cho Young-Jong
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Abstract
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Isolated left-sided portal hypertension is a rare clinical syndrome caused by splenic veno-occlusive disease. Splenic vein thrombosis and extrinsic compression causes proximal splenic vein hypertension, and the splenic blood flows into the superior mesenteric or portal vein through the upper stomach¡¯s collateral vessels, such as the short gastric, coronary, and gastroepiploic veins. Open splenectomy is recommended to treat gastrointestinal bleeding caused by isolated left-sided portal hypertension. Interventional management could be a clinically useful option for selected patients who want to avoid surgical corrections. The report presents two cases of left-sided portal hypertension with gastric variceal bleeding.
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KEYWORD
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Esophageal and Gastric Varices, Splenic Vein, Hemorrhage, Angioplasty, Therapeutic Embolization
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