A case of splenic vein thrombosis due to chronic pancreatitis

Ryuji Yoshimura; Masatoshi Fujishima; Kunihiko Aoyagi; Hiroshi Suekane; Kazuoki Hizawa; Norio Kohrogi; Keiji Kawakubo; Toshiyuki Matsui; Mitsuo Iida; Makoto Hashizume

doi:10.11280/gee1973b.37.355

A case of splenic vein thrombosis due to chronic pancreatitis

Ryuji Yoshimura, Masatoshi Fujishima, Kunihiko Aoyagi, Hiroshi Suekane, Kazuoki Hizawa, Norio Kohrogi, Keiji Kawakubo, Toshiyuki Matsui, Mitsuo Iida, Makoto Hashizume

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Abstract

A 35-year-old male with a history of alcoholic pancreatitis was admitted to our hospital in January, 1989, because of massive melena. Upper gastrointestinal series revealed multiple submucosal tumors in the f ornix and upper body of the stomach. On endoscopic ultrasonography (EUS), these tumors were composed of round echo free spaces in the third layer of the gastric wall, which were suggestive of gastric varices. Per-cutaneous transhepatic portography showed complete obstruction of the splenic vein. He was diagnosed as splenic vein thrombosis with gastric varices, and treated by angioplasty and splenectomy. After the operation, the varices disappeared. Our case suggests that gastric varices may occur in patients with chronic pancreatitis, and that EUS is a useful procedure for the diagnosis of this condition.

Original language	English
Pages (from-to)	355
Number of pages	1
Journal	GASTROENTEROLOGICAL ENDOSCOPY
Volume	37
Issue number	2
DOIs	https://doi.org/10.11280/gee1973b.37.355
Publication status	Published - 1995

All Science Journal Classification (ASJC) codes

Radiology Nuclear Medicine and imaging
Gastroenterology

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title = "A case of splenic vein thrombosis due to chronic pancreatitis",

abstract = "A 35-year-old male with a history of alcoholic pancreatitis was admitted to our hospital in January, 1989, because of massive melena. Upper gastrointestinal series revealed multiple submucosal tumors in the f ornix and upper body of the stomach. On endoscopic ultrasonography (EUS), these tumors were composed of round echo free spaces in the third layer of the gastric wall, which were suggestive of gastric varices. Per-cutaneous transhepatic portography showed complete obstruction of the splenic vein. He was diagnosed as splenic vein thrombosis with gastric varices, and treated by angioplasty and splenectomy. After the operation, the varices disappeared. Our case suggests that gastric varices may occur in patients with chronic pancreatitis, and that EUS is a useful procedure for the diagnosis of this condition.",

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T1 - A case of splenic vein thrombosis due to chronic pancreatitis

AU - Yoshimura, Ryuji

AU - Fujishima, Masatoshi

AU - Aoyagi, Kunihiko

AU - Suekane, Hiroshi

AU - Hizawa, Kazuoki

AU - Kohrogi, Norio

AU - Kawakubo, Keiji

AU - Matsui, Toshiyuki

AU - Iida, Mitsuo

AU - Hashizume, Makoto

PY - 1995

Y1 - 1995

N2 - A 35-year-old male with a history of alcoholic pancreatitis was admitted to our hospital in January, 1989, because of massive melena. Upper gastrointestinal series revealed multiple submucosal tumors in the f ornix and upper body of the stomach. On endoscopic ultrasonography (EUS), these tumors were composed of round echo free spaces in the third layer of the gastric wall, which were suggestive of gastric varices. Per-cutaneous transhepatic portography showed complete obstruction of the splenic vein. He was diagnosed as splenic vein thrombosis with gastric varices, and treated by angioplasty and splenectomy. After the operation, the varices disappeared. Our case suggests that gastric varices may occur in patients with chronic pancreatitis, and that EUS is a useful procedure for the diagnosis of this condition.

AB - A 35-year-old male with a history of alcoholic pancreatitis was admitted to our hospital in January, 1989, because of massive melena. Upper gastrointestinal series revealed multiple submucosal tumors in the f ornix and upper body of the stomach. On endoscopic ultrasonography (EUS), these tumors were composed of round echo free spaces in the third layer of the gastric wall, which were suggestive of gastric varices. Per-cutaneous transhepatic portography showed complete obstruction of the splenic vein. He was diagnosed as splenic vein thrombosis with gastric varices, and treated by angioplasty and splenectomy. After the operation, the varices disappeared. Our case suggests that gastric varices may occur in patients with chronic pancreatitis, and that EUS is a useful procedure for the diagnosis of this condition.

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A case of splenic vein thrombosis due to chronic pancreatitis

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