Left-Sided Portal Hypertension: A Case Series
Left-sided portal hypertension is rarely found, but this condition may cause gastrointestinal tract bleeding and can be life-threatening. The exact incidence of left-sided portal hypertension is unknown as it is rarely found, approximately 1-5%, and most cases were misdiagnosed. We reported 3 cases...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Interna Publishing
2018-08-01
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| Series: | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://ina-jghe.com/journal/index.php/jghe/article/view/661/550 |
| _version_ | 1831525064034484224 |
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| author | Guntur Darmawan Dinda Andini Nenny Agustanti |
| author_facet | Guntur Darmawan Dinda Andini Nenny Agustanti |
| author_sort | Guntur Darmawan |
| collection | DOAJ |
| description | Left-sided portal hypertension is rarely found, but this condition may cause gastrointestinal tract bleeding and can be life-threatening. The exact incidence of left-sided portal hypertension is unknown as it is rarely found, approximately 1-5%, and most cases were misdiagnosed. We reported 3 cases of left-sided portal hypertension in male patient aged 34 years old, female patient aged 29 years old, and female patient aged 35 years old. Most diagnosis was made based on the clinical findings by excluding the diagnosis of cirrhotic portal hypertension. Splenic vein angiography remains the gold standard in diagnosing left sided portal hypertension. Left-sided portal hypertension is difficult to differentiate from cirrhotic portal hypertension because in these both abnormalities, varices can be present. Left-sided portal hypertension can be considered as a diagnosis in patient with upper gastrointestinal tract bleeding due to oesophageal varices, gastric varices, or portal hypertension gastropathy, accompanied with hypersplenism without the presence of hepatic abnormality or cirrhosis. |
| first_indexed | 2024-12-16T15:43:09Z |
| format | Article |
| id | doaj.art-54bde50c9fb84a85addcaa2f65995a87 |
| institution | Directory Open Access Journal |
| issn | 1411-4801 2302-8181 |
| language | English |
| last_indexed | 2024-12-16T15:43:09Z |
| publishDate | 2018-08-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| spelling | doaj.art-54bde50c9fb84a85addcaa2f65995a872022-12-21T22:25:53ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812018-08-01192118120Left-Sided Portal Hypertension: A Case SeriesGuntur Darmawan0Dinda Andini1Nenny Agustanti2Department of Internal Medicine, Faculty of Medicine, Universitas Padjajaran, BandungDepartment of Internal Medicine, Faculty of Medicine, Universitas Padjajaran, BandungDivision of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Universitas Padjajaran, BandungLeft-sided portal hypertension is rarely found, but this condition may cause gastrointestinal tract bleeding and can be life-threatening. The exact incidence of left-sided portal hypertension is unknown as it is rarely found, approximately 1-5%, and most cases were misdiagnosed. We reported 3 cases of left-sided portal hypertension in male patient aged 34 years old, female patient aged 29 years old, and female patient aged 35 years old. Most diagnosis was made based on the clinical findings by excluding the diagnosis of cirrhotic portal hypertension. Splenic vein angiography remains the gold standard in diagnosing left sided portal hypertension. Left-sided portal hypertension is difficult to differentiate from cirrhotic portal hypertension because in these both abnormalities, varices can be present. Left-sided portal hypertension can be considered as a diagnosis in patient with upper gastrointestinal tract bleeding due to oesophageal varices, gastric varices, or portal hypertension gastropathy, accompanied with hypersplenism without the presence of hepatic abnormality or cirrhosis.http://ina-jghe.com/journal/index.php/jghe/article/view/661/550Left-sided portal hypertensionupper gastrointestinal tract bleedinghypersplenism |
| spellingShingle | Guntur Darmawan Dinda Andini Nenny Agustanti Left-Sided Portal Hypertension: A Case Series The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Left-sided portal hypertension upper gastrointestinal tract bleeding hypersplenism |
| title | Left-Sided Portal Hypertension: A Case Series |
| title_full | Left-Sided Portal Hypertension: A Case Series |
| title_fullStr | Left-Sided Portal Hypertension: A Case Series |
| title_full_unstemmed | Left-Sided Portal Hypertension: A Case Series |
| title_short | Left-Sided Portal Hypertension: A Case Series |
| title_sort | left sided portal hypertension a case series |
| topic | Left-sided portal hypertension upper gastrointestinal tract bleeding hypersplenism |
| url | http://ina-jghe.com/journal/index.php/jghe/article/view/661/550 |
| work_keys_str_mv | AT gunturdarmawan leftsidedportalhypertensionacaseseries AT dindaandini leftsidedportalhypertensionacaseseries AT nennyagustanti leftsidedportalhypertensionacaseseries |