Minimally invasive accessory splenectomy for recurrent gastric variceal bleeding due to left-sided portal hypertension: report of the first case. Issue 2 (11th February 2021)

• Record Type: Journal Article
• Authors: Schmidt, S C; Möller, J; Bürgel, N; Radke, C; Beyer, L; Marusch, F
• Is Part Of: Journal of surgical case reports. Volume 2021:Issue 2(2021)
• Publication Date: 2021-02-11
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjab008
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: Upper gastrointestinal bleeding from esophagogastric varices is a common scenario, especially in patients with portal hypertension induced by liver cirrhosis or other diseases with thrombosis of the splenic vein. However, accessory spleen as pathophysiological cause of a regional, left-sided portal hypertension and consecutive development of isolated gastric varices is rare. We report a case of recurrent gastric variceal bleeding resulting from sinistral portal hypertension associated with an accessory spleen in a patient who had traumatic splenectomy many decades before. The accessory spleen is an extremely rare cause for the development of regional, left-sided portal hypertension leading to isolated gastric varices. Minimally invasive splenectomy is a safe and efficient treatment option.