Nishiyama T, Iwao N, Myose H, Okamoto T, Fujitomi Y, Chinen M, Komichi Y, Kobayashi T
Am J Gastroenterol. 1986 Dec;81(12):1193-8.
Splenic vein obstruction was found in three patients with chronic pancreatitis. All had suffered epigastric pain, but no specific findings which suggested obstruction of the splenic vein were evident on physical or laboratory examinations. Enlarged pancreatic contour with calculi and pseudocyst formation were observed by CAT scan in all three cases. Gastric varices were found in two patients who had episodes of gastric bleeding. The splenic vein was shown to be occluded in two patients in the venous phase of celiac angiography and was entirely nonvisualized by percutaneous portography in the third case. The first patient underwent elective surgery, while the second patient had emergency surgery due to intraabdominal abscess formation with gastric bleeding. The surgical procedure in both patients was splenectomy coupled with distal pancreatectomy. Thrombus formation was confirmed by venous dissection at surgery.
在三名慢性胰腺炎患者中发现了脾静脉梗阻。所有患者均有上腹部疼痛，但体格检查或实验室检查均未发现提示脾静脉梗阻的特异性表现。所有三例患者经计算机断层扫描（CAT）均观察到胰腺轮廓增大，伴有结石和假性囊肿形成。两名有胃出血发作的患者发现有胃静脉曲张。在两名患者的腹腔动脉造影静脉期显示脾静脉闭塞，第三例患者经皮门静脉造影完全未显示脾静脉。第一名患者接受了择期手术，而第二名患者因腹腔内脓肿形成伴胃出血接受了急诊手术。两名患者的手术方式均为脾切除术加胰体尾切除术。手术时通过静脉解剖证实有血栓形成。
