Massive variceal bleeding secondary to splenic vein thrombosis successfully treated with splenic artery embolization: a case report.

Introduction: Splenic vein thrombosis results in localized portal hypertension called sinistral portal hypertension, which may also lead to massive upper gastrointestinal bleeding. Symptomatic sinistral portal hypertension is usually best treated by splenectomy, but interventional radiological techniques are safe and effective alternatives in the management of a massive hemorrhage, particularly in cases that have a high surgical risk.

Case Presentation: We describe a 23-year-old Greek man with acute massive gastric variceal bleeding caused by splenic vein thrombosis due to a missing von Leiden factor, which was successfully managed with splenic arterial embolization.

Digital subtraction angiography abnormalities in sudden unilateral profound hearing loss.

Conclusion: The reduced caliber of the anterior inferior cerebellar artery (AICA) on the affected side in patients with sudden unilateral profound hearing loss (SUPHL) may reflect a perfusion deficit which, combined to a lesser degree with anatomic abnormalities in the vertebrobasilar system, would be implicated in the pathogenesis of SUPHL.

Objective: To identify existing hemodynamic disturbances and anatomic abnormalities in patients with SUPHL using digital subtraction angiography.

Material And Methods: Ten patients aged 18-66 years and a control group of 25 subjects were included in the study.