TY - JOUR
T1 - Pancreatic endocrine carcinoma presenting with gastric varices derived by left-sided portal hypertension
T2 - A case report
AU - Nozoe, Tadahiro
AU - Hanagiri, Takeshi
AU - Sugio, Kenji
AU - Yasumoto, Kosei
PY - 2007/12
Y1 - 2007/12
N2 - We herein report a 71-year-old man with pancreatic carcinoma presenting as gastric varices caused by an obstruction of the splenic vein compressed by the tumor, which also invaded the spleen, stomach, transverse colon, left kidney, and left adrenal gland. A complete resection of distal pancreatomy and lymph node dissection with splenenctomy, left adrenalectomy, left nephrectomy, and partial resection of transverse colon and stomach were performed. After the resection, the gastric varices completely disappeared without any interventional therapy. The gastric varices observed in this case were considered to be derived from left-sided portal hypertension secondary to splenic vein occlusion, which is an uncommon complication mostly associated with pancreatitis and pancreatic carcinoma. Now that 17 months have passed after his operation, the patient is alive and in satisfactory condition without any signs of recurrence.
AB - We herein report a 71-year-old man with pancreatic carcinoma presenting as gastric varices caused by an obstruction of the splenic vein compressed by the tumor, which also invaded the spleen, stomach, transverse colon, left kidney, and left adrenal gland. A complete resection of distal pancreatomy and lymph node dissection with splenenctomy, left adrenalectomy, left nephrectomy, and partial resection of transverse colon and stomach were performed. After the resection, the gastric varices completely disappeared without any interventional therapy. The gastric varices observed in this case were considered to be derived from left-sided portal hypertension secondary to splenic vein occlusion, which is an uncommon complication mostly associated with pancreatitis and pancreatic carcinoma. Now that 17 months have passed after his operation, the patient is alive and in satisfactory condition without any signs of recurrence.
UR - http://www.scopus.com/inward/record.url?scp=38849099078&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=38849099078&partnerID=8YFLogxK
U2 - 10.1007/s10388-007-0132-x
DO - 10.1007/s10388-007-0132-x
M3 - Article
AN - SCOPUS:38849099078
SN - 1612-9059
VL - 4
SP - 181
EP - 183
JO - Esophagus
JF - Esophagus
IS - 4
ER -