Recurrent digestive hemorrhage due to fundic varices secundary to left-sided portal hypertension after distal pancreatectomy: splenectomy as definitive treatment.

Abstract

Extrahepatic portal hypertension (EPH) is defined as an increase in pressure within the portal venous system without the presence of chronic liver disease. Left-sided portal hypertension (LSPH) is a rare form of extrahepatic portal hypertension, typically associated with pancreatic pathology. The formation of collateral circulation and the development of gastric varices are the main associated findings, which can lead to potentially severe upper gastrointestinal hemorrhages (UGIH)[1].

We present the case of a patient who underwent a distal pancreatectomy and subsequently developed recurrent UGIH due to fundic varices as a consequence of altered splenic circulation.

Keywords: left-sided portal hypertension, gastric varices, splenectomy.