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Portal Venous Thrombosis and Splenic Hemangioma, Secondary to Acute Pancreatitis: Case Report

¹ Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
² General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
³ General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
⁴ General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
⁵ General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
⁶ Hospital Civil Fray Antonio Alcalde, Guadalajara, Jalisco, México
⁷ General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
⁸ General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
⁹ General Surgery Department, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
¹⁰ Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
¹¹ Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
¹² Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México
¹³ Departamento de Medicina Interna, ISSSTE Tepic General Hospital APP, Tepic, Nayarit, México

Open Journal of Gastroenterology·Volume 14 (2024)·Pages 11–17·Published 24 January 2024·DOI10.4236/ojgas.2024.141002

Abstract

We present an unusual case of portal vein thrombosis with a splanchnic hemangioma secondary to acute biliary pancreatitis. We report a 45-year-old patient, who has systemic arterial hypertension in treatment, was admitted for abdominal pain in the epigastrium, with irradiation to the right hypochondrium, accompanied by nausea and vomiting of 10 occasions of bile content, physical examination with pain in the right hypochondrium, Murphy positive. We have laboratory studies with a lipase of 788, so a diagnosis of pancreatitis is made with an etiology to be determined. The laboratories suggestive of acute biliary pancreatitis (lipase 788.71); an imaging study was subsequently performed (ultrasonography) with the result of stone in the common bile duct. A laparoscopy was performed with relative improvement, so he was discharged and returned 20 days after surgery due to abdominal pain of the same intensity in the left hypochondrium. Ending his hospitalization with a splenectomy for splenic hemangioma with portal vein thrombosis.

KeywordsPancreatitisEsplenic HemangiomaEsplenectomyPortal Vein ThrombosisSurgery

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Portal Venous Thrombosis and Splenic Hemangioma, Secondary to Acute Pancreatitis: Case Report

Abstract

References (8)