A Case of Serous Cystadenoma of the Pancreas, which Required Concomitant Segmental Excision of the Portal Vein and the Right Hepatic Artery.

We herein report the case of a 63-year-old woman with a serous cystadenoma of the pancreas presenting with left-sided portal hypertension secondary to isolated splenic vein occlusion. She was admitted to our hospital for sudden hematemesis. Emergency upper gastrointestinal endoscopy revealed hemorrhagic erosive gastritis and isolated varices in the gastric fundus. An abdominal angiographic study disclosed a large hypervascular tumor of the pancreatic tail which caused isolated splenic vein occlusion by tumor compression and formed large hepatopetal collaterals via the gastric varices. The patient underwent tumor resection with splenectomy and, as a result, the gastric varices disappeared and the postoperative course was uneventful. Left-sided portal hypertension secondary to splenic vein occlusion is an uncommon complication mostly associated with pancreatitis and pancreatic carcinoma. Although benign pancreatic neoplasms only rarely cause such a condition, the possibility of gastrointestinal bleeding due to this condition should be carefully taken into consideration when treating pancreatic disease.

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A rare case of serous cystadenoma of the pancreas presenting with left-sided portal hypertension

Iwasaki

Nagata

Watahiki

et al. 1996

Surg Today

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A Case of Serous Cystadenoma of the Pancreas, which Required Concomitant Segmental Excision of the Portal Vein and the Right Hepatic Artery.

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A rare case of serous cystadenoma of the pancreas presenting with left-sided portal hypertension

A rare case of serous cystadenoma of the pancreas presenting with left-sided portal hypertension

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