Sinistral Portal Hypertension After Live Segmental Pancreas Donation: A Long-Term Sequelae Presenting With Life-Threatening Upper Gastrointestinal Hemorrhage

被引:4
|
作者
Serrano, O. K. [1 ]
Cunha, R. D. [2 ]
Mettler, T. [3 ]
Sutherland, D. E. R. [1 ]
Kandaswamy, R. [1 ]
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
关键词
SPLENIC VEIN-THROMBOSIS; DONOR DISTAL PANCREATECTOMY; SINGLE-CENTER EXPERIENCE; KIDNEY TRANSPLANTATION; NATURAL-HISTORY;
D O I
10.1016/j.transproceed.2016.09.035
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
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.
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页码:221 / 224
页数:4
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