Splenopneumopexy: Decompression of Portal Hypertension in the Setting of Portal Venous Occlusive Disease

Sutton, Jeffrey M.; Nussbaum, Michael S.; Vũ, Đoàn; Diwan, Tayyab S.; Starnes, Sandra L.; Shah, Shimul A.

doi:10.1007/s10620-014-3405-y

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“…Splenopneumopexy is a surgically created portopulmonary shunt used to alleviate portal hypertension causing variceal bleeding and ascites in those with Budd-Chiari syndrome and porto-splenic-mesenteric venous occlusion. 1 , 3 , 5 It was predominantly performed in the 1980s. Nowadays, it has been replaced by various modalities for portal hypertension management.…”

Section: Discussionmentioning

confidence: 99%

Massive Gastric Bleed 20 Years After Splenopneumopexy

et al. 2022

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Splenopneumopexy is an anastomosis performed for patients with portal hypertension secondary to veno-occlusive disease of the portal, splenic, or mesenteric veins. We present a case of an adult gentleman who presented with melena and was found to have pseudoaneurysm almost 20 years after his procedure. We also describe the clinical, laboratory, endoscopic, and radiological workup conducted to diagnose and manage gastric bleeding in this rare complication.

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Section: Discussionmentioning

confidence: 99%