Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report
<p>Abstract</p> <p>Background</p> <p>Isolated splenic vein thrombosis with left sided portal hypertension is a rare cause of upper gastrointestinal bleed. Diagnosis is difficult and requires a high index of suspicion, especially in patients presenting with gastrointesti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2006-11-01
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| Series: | BMC Gastroenterology |
| Online Access: | http://www.biomedcentral.com/1471-230X/6/38 |
| _version_ | 1818859101996711936 |
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| author | Kinra Sonali Singhal Rishi Hariharan Deepak Chilton Andrew |
| author_facet | Kinra Sonali Singhal Rishi Hariharan Deepak Chilton Andrew |
| author_sort | Kinra Sonali |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Isolated splenic vein thrombosis with left sided portal hypertension is a rare cause of upper gastrointestinal bleed. Diagnosis is difficult and requires a high index of suspicion, especially in patients presenting with gastrointestinal bleed in the presence of splenomegaly and normal liver function tests.</p> <p>Case presentation</p> <p>A 64 year old male presented with haematemesis and melaena. An upper gastrointestinal endoscopy revealed the presence of antral erosions in the stomach and fundal varices. A computerised tomography scan of abdomen confirmed the presence of a diaphragmatic tear and the spleen to be lying in the left hemi thorax. The appearances of the splenic vein on the scan were consistent with thrombosis.</p> <p>Conclusion</p> <p>Left sided portal hypertension as a result of isolated splenic vein thrombosis secondary to trauma is rare. The unusual presentation of our case, splenic herniation into the left hemithorax, causing fundal varices leading to upper gastrointestinal bleed 28 years after the penetrating injury, makes this case most interesting. We believe that this has not been reported in literature before.</p> |
| first_indexed | 2024-12-19T09:06:50Z |
| format | Article |
| id | doaj.art-30925a77dc3a4bd9901f4f599e352bc5 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-19T09:06:50Z |
| publishDate | 2006-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-30925a77dc3a4bd9901f4f599e352bc52022-12-21T20:28:19ZengBMCBMC Gastroenterology1471-230X2006-11-01613810.1186/1471-230X-6-38Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case reportKinra SonaliSinghal RishiHariharan DeepakChilton Andrew<p>Abstract</p> <p>Background</p> <p>Isolated splenic vein thrombosis with left sided portal hypertension is a rare cause of upper gastrointestinal bleed. Diagnosis is difficult and requires a high index of suspicion, especially in patients presenting with gastrointestinal bleed in the presence of splenomegaly and normal liver function tests.</p> <p>Case presentation</p> <p>A 64 year old male presented with haematemesis and melaena. An upper gastrointestinal endoscopy revealed the presence of antral erosions in the stomach and fundal varices. A computerised tomography scan of abdomen confirmed the presence of a diaphragmatic tear and the spleen to be lying in the left hemi thorax. The appearances of the splenic vein on the scan were consistent with thrombosis.</p> <p>Conclusion</p> <p>Left sided portal hypertension as a result of isolated splenic vein thrombosis secondary to trauma is rare. The unusual presentation of our case, splenic herniation into the left hemithorax, causing fundal varices leading to upper gastrointestinal bleed 28 years after the penetrating injury, makes this case most interesting. We believe that this has not been reported in literature before.</p>http://www.biomedcentral.com/1471-230X/6/38 |
| spellingShingle | Kinra Sonali Singhal Rishi Hariharan Deepak Chilton Andrew Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report BMC Gastroenterology |
| title | Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report |
| title_full | Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report |
| title_fullStr | Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report |
| title_full_unstemmed | Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report |
| title_short | Post traumatic intra thoracic spleen presenting with upper GI bleed! – a case report |
| title_sort | post traumatic intra thoracic spleen presenting with upper gi bleed a case report |
| url | http://www.biomedcentral.com/1471-230X/6/38 |
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