Article ; Online: Left-sided portal hypertension due to retroperitoneal fibrosis treated with an oesophagus preserving, modified Sugiura procedure.
Annals of the Royal College of Surgeons of England
2019 Volume 102, Issue 2, Page(s) e48–e50
Abstract: Left-sided portal hypertension is a very uncommon condition and retroperitoneal fibrosis has rarely been reported as a cause. We present the case of a 77-year-old man with retroperitoneal fibrosis obstructing the splenic vein and causing recurrent ... ...
Abstract | Left-sided portal hypertension is a very uncommon condition and retroperitoneal fibrosis has rarely been reported as a cause. We present the case of a 77-year-old man with retroperitoneal fibrosis obstructing the splenic vein and causing recurrent episodes of upper gastrointestinal bleeding. Computed tomography showed a retroperitoneal mass as being responsible for the obstruction of the splenic vein, splenomegaly, and diffuse varices around the gastrosplenic and gastrohepatic ligaments. An oesophagus preserving, modified Sugiura procedure was performed with disconnection of the gastric vessels on the lesser curve of the stomach, preserving the pylorus branches of the nerves of Latarjet. |
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MeSH term(s) | Aged ; Esophageal and Gastric Varices/etiology ; Esophageal and Gastric Varices/surgery ; Esophagus/blood supply ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/surgery ; Humans ; Male ; Organ Sparing Treatments ; Retroperitoneal Fibrosis/complications ; Retroperitoneal Fibrosis/diagnosis ; Retroperitoneal Space/diagnostic imaging ; Splenectomy ; Stomach/blood supply ; Tomography, X-Ray Computed ; Treatment Outcome ; Vascular Surgical Procedures |
Language | English |
Publishing date | 2019-10-29 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ZDB-ID | 80044-2 |
ISSN | 1478-7083 ; 0035-8843 |
ISSN (online) | 1478-7083 |
ISSN | 0035-8843 |
DOI | 10.1308/rcsann.2019.0138 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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