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Addario L, Tritto G, Cavaglià E, et al. Gastric variceal bleeding from segmentary idiopathic splenic vein stenosis with left-sided portal hypertension: An unappreciated complication of pregnancy. Hepatol Res. 2013;44(2):246-9doi: 10.1111/hepr.12110.
Addario, L., Tritto, G., Cavaglià, E., Hashim, A., & Rotondano, G. (2014). Gastric variceal bleeding from segmentary idiopathic splenic vein stenosis with left-sided portal hypertension: An unappreciated complication of pregnancy. Hepatology research : the official journal of the Japan Society of Hepatology, 44(2), 246-9. https://doi.org/10.1111/hepr.12110
Addario, Luigi, et al. "Gastric variceal bleeding from segmentary idiopathic splenic vein stenosis with left-sided portal hypertension: An unappreciated complication of pregnancy." Hepatology research : the official journal of the Japan Society of Hepatology vol. 44,2 (2014): 246-9. doi: https://doi.org/10.1111/hepr.12110
Addario L, Tritto G, Cavaglià E, Hashim A, Rotondano G. Gastric variceal bleeding from segmentary idiopathic splenic vein stenosis with left-sided portal hypertension: An unappreciated complication of pregnancy. Hepatol Res. 2014 Feb;44(2):246-9. doi: 10.1111/hepr.12110. Epub 2013 May 03. PMID: 23607892.
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Hepatol Res. 2014 Feb;44(2):246-9. doi: 10.1111/hepr.12110. Epub 2013 May 03.

Gastric variceal bleeding from segmentary idiopathic splenic vein stenosis with left-sided portal hypertension: An unappreciated complication of pregnancy.

Hepatology research : the official journal of the Japan Society of Hepatology

Luigi Addario, Giovanni Tritto, Enrico Cavaglià, Ahmed Hashim, Gianluca Rotondano

Affiliations

  1. Hepatology Unit, "A. Cardarelli" Hospital, Naples, Italy.

PMID: 23607892 DOI: 10.1111/hepr.12110

Abstract

Segmentary idiopathic splenic vein stenosis is a very rare condition. We report a unique case of acute gastric variceal bleeding in a 31-year-old pregnant woman with left-sided portal hypertension from segmentary idiopathic splenic vein stenosis. Hemorrhage was controlled by endoscopic acrylate glue injection and urgent cesarean section allowed successful delivery. The patient declined subsequent intervention and has been on beta-blockers with no bleeding recurrence since then. This condition, its pathophysiological implications and management are discussed.

© 2013 The Japan Society of Hepatology.

Keywords: gastric variceal bleeding; left-sided portal hypertension; pregnancy; splenic vein stenosis

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