November 12, 2014
Notes: Li, Qiurong
Crit Care Med. 2013 Jun 12.
Author Address: All authors: Jinling Hospital, Research Institute of General Surgery, Nanjing University School of Medicine, Nanjing, China.
Reference Type: Journal Article
Record Number: 5187Author: Li, Z. Y., Li, B., Wu, Y. L. and Xie, Q. P.
Title: Acute pancreatitis associated left-sided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization: a case report and literature review
Journal: J Zhejiang Univ Sci B
Short Title: Acute pancreatitis associated left-sided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization: a case report and literature review
Alternate Journal: Journal of Zhejiang University. Science. B
ISSN: 1862-1783 (Electronic)
Accession Number: 23733433
Abstract: Left-sided portal hypertension (LSPH) followed by acute pancreatitis is a rare condition with most patients being asymptomatic. In cases where gastrointestinal (GI) bleeding is present, however, the condition is more complicated and the mortality is very high because of the difficulty in diagnosing and selecting optimal treatment. A successfully treated case with severe GI bleeding by transcatheter splenic artery embolization is reported in this article. The patient exhibited severe uncontrollable GI bleeding and was confirmed as gastric varices secondary to LSPH by enhanced computed tomography (CT) scan and CT-angiography. After embolization, the bleeding stopped and stabilized for the entire follow-up period without any severe complications. In conclusion, embolization of the splenic artery is a simple, safe, and effective method of controlling gastric variceal bleeding caused by LSPH in acute pancreatitis.