La HDB es menos frecuente que la hemorragia digestiva alta. Su longitud es de unos 6 a 7 metros. Y su frecuencia aumenta con la edad hasta casos anuales por Estudios de eficiencia y coste. Algunas de las causas que se dan son muy poco frecuentes y solo se dan casos aislados.
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Background: Splenic vein thrombosis is a complication of pancreatic carcinoma, pancreatitis or pancreatic pseudocyst. It may lead to segmental portal hypertension and bleeding from gastric varices. Clinical case: A 31 year-old man was diagnosed with pancreatitis of two weeks of evolution and was referred to our hospital in He had a history of alcohol consumption.
Physical examination showed no stigmata of liver cirrhosis. Laboratory analyses revealed hemoglobin 9. Liver function tests were normal as well. Abdominal CT showed a pseudocyst, which was drained by percutaneous puncture. By pseudocyst recurrence, drainage and necrosectomy by retroperitoneal laparascopy were performed. The patient presented hyperglycemia during his treatment in hospital. He was discharged, but he returned to emergency room because of gastrointestinal bleeding without hemodynamic instability.
Gastroscopy showed bleeding gastric varices. The colonoscopy showed normal results. Liver biopsy was also normal. Abdominal CT angiography revealed blockage of the splenic vein. Patient underwent splenectomy and was discharged. Conclusion: This case is rare due to the high frequency of portal hypertension and cirrhosis. The isolated gastric varices with normal liver function are a sign of splenic thrombosis.
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Optional text in email:. Save Cancel. Create a file for external citation management software Create file Cancel. Cite Favorites. Abstract in English , Spanish. Similar articles Splenic vein thrombosis, segmental portal hypertension and bleeding esophageal varices produced by a congenital pancreatic cyst. Wolloch Y, et al. Isr J Med Sci. PMID: No abstract available. Gastrointestinal hemorrhage from left-sided portal hypertension. An unappreciated complication of pancreatitis. Little AG, et al.
Am J Surg. PMID: Sinistral left-sided portal hypertension. Evans GR, et al. Am Surg. Isolated gastric variceal bleeding caused by splenic lymphoma-associated splenic vein occlusion. Chen BC, et al. World J Gastroenterol. Splenic vein thrombosis. Simpson WG, et al. South Med J. PMID: Review. Show more similar articles See all similar articles. Publication types Case Reports Actions. MeSH terms Adult Actions. Humans Actions. Male Actions. Copy Download.
[Segmental Portal Hypertension With Splenic Vein Thrombosis Caused by Pancreatitis]
Prevalence and gaps today; mental health tomorrow. Estos trastornos son principalmente de ansiedad y disruptivos. Palabras clave : salud mental, carga, barreras, brecha de servicio. Major depression and alcohol consumption disorders hold the first and second place in disabilities attributed to adults. Anxiety disorders have more prevalence, followed by major depression and alcohol consumption disorders.
EL PACIENTE CON FUNCIÓN HEPÁTICA ALTERADA
Vascular hemichorea: a rare presentation of lacunar infarction. Residente de Medicina Interna. Cecilia Botta. Postgrado de Medicina Interna. Ex Residente de Medicina Interna.
Hemorragia digestiva baja
Background: Splenic vein thrombosis is a complication of pancreatic carcinoma, pancreatitis or pancreatic pseudocyst. It may lead to segmental portal hypertension and bleeding from gastric varices. Clinical case: A 31 year-old man was diagnosed with pancreatitis of two weeks of evolution and was referred to our hospital in He had a history of alcohol consumption. Physical examination showed no stigmata of liver cirrhosis. Laboratory analyses revealed hemoglobin 9.