Left-sided portal hypertension caused by idiopathic splenic vein stenosis improved by splenectomy: a case report

• DOI: 10.1186/s40792-020-00912-y
• Publication Date: 2020-06-26T04:37:20Z
• Authors: Hikaru Hayashi; Akira Shimizu; Hiroaki Motoyama; Koji Kubota; Tsuyoshi Notake; Tomohiko Ikehara; Koya Yasukawa; Akira Kobayashi; Yuji Soejima
• Keywords: Splenic vein; Gastric varices; Right gastric vein

Abstract Background Splenic vein stenosis and occlusion, which are known causes of left-sided portal hypertension, often occur secondary to trauma, pancreatitis, or invasion compression by pancreatic tumors. However, few reports have described idiopathic splenic stenosis. Case presentation A 70-year-old man was referred our hospital for examination isolated gastric varices. He had no history liver disease, abdominal trauma. Computed tomography revealed almost the entire length vein, development fundal short No inflammatory changes neoplastic lesions pancreas were observed in any imaging study. The patient diagnosed with hypertension caused stenosis, splenectomy performed. postoperative course smooth, improvement varices shown upper gastrointestinal endoscopy at 3 months after operation. Conclusions Idiopathic is an extremely rare cause hypertension. Splenectomy one most effective treatments