Terrinoni V, Bianchi G, Lamazza A, Manili G, Bellini N, Carbone G, Rengo M
I Istituto di Clinica Chirurgica, Università degli Studi La Sapienza, Roma.
G Chir. 1999 Apr;20(4):185-7.
The authors report an uncommon gastric bleeding rate due to splenic hilum compression by a pancreatic cyst. The syndrome to be brought back to some sectorial portal hypertension form (left-sided portal hypertension) is difficult to diagnose because of absence of esophageal varices and other portal hypertension signs in an unchanged liver functionality patient. To put a correct diagnosis about gastric bottom bleeding varices without hepatic origin, the authors recommend to use arteriography and CT. Surgical treatment is proved to be the election one because of useless attempt of bleeding control through hepatic artery endoscopic sclerosis or embolization.
作者报告了一例因胰腺囊肿压迫脾门导致罕见的胃出血病例。这种可归结为某种节段性门静脉高压症(左侧门静脉高压)的综合征,在肝功能未改变的患者中,由于没有食管静脉曲张和其他门静脉高压体征,很难诊断。为了正确诊断无肝源性的胃底静脉曲张出血,作者建议使用动脉造影和CT。由于通过肝动脉内镜硬化或栓塞控制出血的尝试无效,手术治疗被证明是首选方法。