Left portal hypertension secondary to idiopathic occlusion of the splenic vein. A case report

Authors

  • Andrés Felipe Latorre Pinto Universidad CES, Medellín
  • Alberto Mario Latorre Pinto Pontificia Universidad Javeriana, Bogotá
  • Alberto Latorre Abisambra Cerid S.A. Imágenes diagnósticas
  • Alfonso Spath Spath Cediul, Barranquilla

DOI:

https://doi.org/10.53903/01212095.367

Keywords:

Hypertension, portal, Splenomegaly, Esophageal and gastric varices

Abstract

Left portal hypertension is a cause of upper gastrointestinal bleeding secondary to isolated gastric varices in patients with no history of portal hypertension and normal liver function. It differs from other types of portal hypertension in that it does not present with liver dysfunction. Its incidence
has increased due to advances in diagnostic methods. It should be suspected in patients with gastrointestinal bleeding. We present the case of a 20-year-old female patient who consulted for hematemesis associated with epigastric pain. The imaging diagnosis was splenomegaly associated with variceal dilations, which was treated with recanalization of the splenic artery and subsequent
splenectomy.

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References

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Published

2025-03-30

How to Cite

(1)
Latorre Pinto, A. F.; Latorre Pinto, A. M.; Latorre Abisambra, A.; Spath Spath, A. Left Portal Hypertension Secondary to Idiopathic Occlusion of the Splenic Vein. A Case Report. Rev. colomb. radiol. 2025, 36, 6372-6377.
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