Giant Splenic Artery Aneurysm with Extrahepatic Portal Vein Obstruction – A Rare Entity

Puliyath, Nisanth; Raj, Nirjhar; Sanyal, Sumit; Tripathy, Debendra Kumar; Gupta, Rohit

doi:10.4103/jme.jme_59_20

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Several case reports have also been published (Tables 1A and 2A). [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] Lymphoma: Case reports described compression of the SV by lymphoma, presenting with variceal bleeding, absence of cirrhosis, and imaging and pathology indicative of lymphoma. In one case, high-grade-B-cell lymphoma resolved gastric varices with chemotherapy alone, while a case of large B-cell lymphoma required splenic artery embolization and chemotherapy for resolution (Tables 1A and 2A).…”

Section: Compressionmentioning

confidence: 99%

“…On follow-up, one case had a resolution of gastric varices (Tables 1A and 2A). 15,16 Bochdalek hernia: Bochdalek hernias are congenital diaphragmatic hernias resulting from a failed closure of the posterolateral diaphragm. 17,18 They present in adults with an incidence of 0.17%.…”

Section: Compressionmentioning

confidence: 99%

“…18 Splenectomy and aneurysmectomy have been suggested for SAAs. 15,16,69 Studies on aneurysmectomy alone have not been reported.…”

Section: Compression Etiologiesmentioning

confidence: 99%

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Etiologies of Splenic Venous Hypertension: A Review

Tidwell,

Thakkar,

2024

J Clin Transl Hepatol

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Section: Compressionmentioning

confidence: 99%

Section: Compressionmentioning

confidence: 99%

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Etiologies of Splenic Venous Hypertension: A Review

Tidwell,

Thakkar,

2024

J Clin Transl Hepatol

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Surgical outcome of extrahepatic portal venous obstruction: Audit from a tertiary referral centre in Eastern India

Das,

Manadal,

Das

et al. 2023

Ann Hepatobiliary Pancreat Surg

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Backgrounds/Aims: Extra hepatic portal venous obstruction (EHPVO) is the most common cause of portal hypertension in Indian children. While endoscopy is the primary modality of management, a subset of patients require surgery. This study aims to report the short-and long-term outcomes of EHPVO patients managed surgically. Methods: All the patients with EHPVO who underwent surgery between August 2007 and December 2021 were retrospectively reviewed. Postoperative complications were classified after Clavien-Dindo. Binary logistic regression in Wald methodology was used to determine the predictive factors responsible for unfavourable outcome. Results: Total of 202 patients with EHPVO were operated. Mean age of patients was 20.30 ± 9.96 years, and duration of illness, 90.05 ± 75.13 months. Most common indication for surgery was portal biliopathy (n = 59, 29.2%), followed by bleeding (n = 50, 24.8%). Total of 166 patients (82.2%) had shunt procedure. Splenectomy with esophagogastric devascularization was the second most common surgery (n = 20, 9.9%). Nine major postoperative complications (Clavien-Dindo > 3) were observed in 8 patients (4.0%), including 1 (0.5%) operative death. After a median follow-up of 56 months (15−156 months), 166 patients (82.2%) had favourable outcome. In multivariate analysis, associated splenic artery aneurysm (p = 0.007), isolated gastric varices (p = 0.004), preoperative endoscopic retrograde cholangiography and stenting (p = 0.015), and shunt occlusion (p < 0.001) were independent predictors of unfavourable long-term outcome. Conclusions: Surgery in EHPVO is safe, affords excellent short-and long-term outcome in patients with symptomatic EHPVO, and may be considered for secondary prophylaxis.

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Giant Splenic Artery Aneurysm with Extrahepatic Portal Vein Obstruction – A Rare Entity

Cited by 2 publications

References 8 publications

Etiologies of Splenic Venous Hypertension: A Review

Etiologies of Splenic Venous Hypertension: A Review

Surgical outcome of extrahepatic portal venous obstruction: Audit from a tertiary referral centre in Eastern India

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