Sinistral Portal Hypertension After Live Segmental Pancreas Donation: A Long-Term Sequelae Presenting With Life-Threatening Upper Gastrointestinal Hemorrhage
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作者:
Serrano, O. K.
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Univ Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USAUniv Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USA
Serrano, O. K.
[1
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Cunha, R. D.
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机构:
St Johns Med Coll, Bengaluru, Karnataka, IndiaUniv Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USA
Cunha, R. D.
[2
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Mettler, T.
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Univ Minnesota, Dept Lab Med & Pathol, Div Anat Pathol, Minneapolis, MN 55455 USAUniv Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USA
Mettler, T.
[3
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Sutherland, D. E. R.
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Univ Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USAUniv Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USA
Sutherland, D. E. R.
[1
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Kandaswamy, R.
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Univ Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USAUniv Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USA
Kandaswamy, R.
[1
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机构:
[1] Univ Minnesota, Dept Surg, Div Transplantat, Box 242 UMHC, Minneapolis, MN 55455 USA
[2] St Johns Med Coll, Bengaluru, Karnataka, India
[3] Univ Minnesota, Dept Lab Med & Pathol, Div Anat Pathol, Minneapolis, MN 55455 USA
Introduction. Variceal hemorrhage from sinistral portal hypertension has never been reported as a complication of live pancreas donation. Case Report. We present a 68-year-old patient who underwent a simultaneous live-donor laparoscopic segmental pancreatectomy and nephrectomy for the purposes of donating to her daughter. Her postoperative course was significant for an episode of acute pancreatitis with a pseudocyst formation. More than a decade later, she presented with variceal hemorrhage from sinistral portal hypertension, which after a diagnostic work-up, prompted a laparoscopic splenectomy. Discussion. Sinistral portal hypertension is a long-term complication of live-donor pancreas donation.