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On-line Access: 2013-06-04

Received: 2012-09-13

Revision Accepted: 2012-12-18

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Journal of Zhejiang University SCIENCE B 2013 Vol.14 No.6 P.549-554

http://doi.org/10.1631/jzus.B1200247


Acute pancreatitis associated left-sided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization: a case report and literature review


Author(s):  Zhi-yu Li, Bin Li, Yu-lian Wu, Qiu-ping Xie

Affiliation(s):  Department of Surgery, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China

Corresponding email(s):   yushengxqp@zju.edu.cn

Key Words:  Left-sided portal hypertension (LSPH), Gastric varices, Acute pancreatitis, Gastrointestinal bleeding, Splenic artery embolization (SAE)


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Zhi-yu Li, Bin Li, Yu-lian Wu, Qiu-ping Xie. Acute pancreatitis associated left-sided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization: a case report and literature review[J]. Journal of Zhejiang University Science B, 2013, 14(6): 549-554.

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author="Zhi-yu Li, Bin Li, Yu-lian Wu, Qiu-ping Xie",
journal="Journal of Zhejiang University Science B",
volume="14",
number="6",
pages="549-554",
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publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1200247"
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%T Acute pancreatitis associated left-sided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization: a case report and literature review
%A Zhi-yu Li
%A Bin Li
%A Yu-lian Wu
%A Qiu-ping Xie
%J Journal of Zhejiang University SCIENCE B
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%N 6
%P 549-554
%@ 1673-1581
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%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1200247

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T1 - Acute pancreatitis associated left-sided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization: a case report and literature review
A1 - Zhi-yu Li
A1 - Bin Li
A1 - Yu-lian Wu
A1 - Qiu-ping Xie
J0 - Journal of Zhejiang University Science B
VL - 14
IS - 6
SP - 549
EP - 554
%@ 1673-1581
Y1 - 2013
PB - Zhejiang University Press & Springer
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DOI - 10.1631/jzus.B1200247


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.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

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