Volume 25, Issue 111, May, 2021

Chronic pancreatitis with sinistral portal hypertension: A rare case report

Param Shah¹, Sourya Acharya^2♦, Raju Shinde³, Vijendra Kirnake⁴, Sunil Kumar⁵, Vijay ALS⁶

¹Resident, Dept. of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
²Professor & Head, Dept. of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
³Professor, Dept. of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
⁴Professor & Head, Dept. of Gastroenterology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
⁵Professor, Dept. of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India
⁶Resident, Dept of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India

^♦Corresponding author
Professor & Head, Dept. of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha-442001, Maharashtra, India

ABSTRACT

Due to its rarity as an etiology of massive upper gastrointestinal bleeding, left sided portal hypertension also known as “Sinistral portal hypertension” is often missed or diagnosed late. It often leads to isolated gastric varices which have a scope of different treatment modalities ranging from endoscopic, interventional radiological and surgical procedures. We report a case of 40-year-old male patient who was a case of chronic pancreatitis due to chronic alcoholism presented to us with history of massive hematemesis and black stools and was diagnosed as Left sided Portal Hypertension.

Keywords: Splenic vein thrombosis, Gastrointestinal bleeding, Splenectomy, Left sided portal hypertension, Chronic pancreatitis

Medical Science, 2021, 25(111), 1195-1198

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