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Splenic vein thrombosis.

W G Simpson1, R W Schwartz, W E Strodel

  • 1Department of Medicine, University of Kentucky Chandler Medical Center, Lexington 40536-0084.

Southern Medical Journal
|April 1, 1990
PubMed
Summary
This summary is machine-generated.

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Splenic vein thrombosis can cause upper gastrointestinal bleeding and abdominal pain. Splenectomy is an effective treatment for localized portal hypertension caused by splenic vein thrombosis, with most patients recovering well.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Abdominal Imaging

Background:

  • Splenic vein thrombosis (SVT) is a rare condition.
  • It can lead to localized portal hypertension and gastrointestinal bleeding.

Observation:

  • A retrospective review identified six patients with documented SVT.
  • Common symptoms included upper gastrointestinal bleeding from varices or abdominal pain.
  • Pancreatic disease was prevalent (83%), and splenomegaly occurred in 50%.

Findings:

  • Angiography confirmed splenic vein occlusion with collateral circulation in four patients.
  • All patients underwent splenectomy.
  • Eighty-three percent of patients survived with no further bleeding after a mean follow-up of 9.5 months.

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Implications:

  • Splenectomy appears to be an effective treatment for SVT-induced portal hypertension.
  • This approach can resolve gastrointestinal bleeding and improve patient outcomes.