Sinistral portal hypertension (SPH), also known as left-sided portal hypertension or segmental portal hypertension, is a rare cause of upper gastrointestinal bleeding. Historically, SPH is a result of obstruction of the splenic vein often secondary to pancreatic pathology. To our knowledge, there are no reported cases of idiopathic SPH in which the findings cannot be attributed to any etiology. It is important to do a detailed workup to rule out common pathologies of SPH before making a diagnosis of idiopathic SPH. Treatment of gastric variceal bleed secondary to idiopathic SPH can be challenging and requires a multidisciplinary approach with surgery and interventional radiology. Our patient's history, examination findings, and imaging revealed no identifiable cause for SPH suggesting idiopathic SPH. We describe a case of isolated gastric variceal hemorrhage due to idiopathic SPH that was successfully treated.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336330 | PMC |
http://dx.doi.org/10.7759/cureus.16165 | DOI Listing |
medRxiv
January 2024
Department of Population Health Sciences, University of Leicester, Leicester, UK.
Background: Idiopathic pulmonary fibrosis (IPF) is a chronic lung condition that is more prevalent in males than females. The reasons for this are not fully understood, with differing environmental exposures due to historically sex-biased occupations, or diagnostic bias, being possible explanations. To date, over 20 independent genetic variants have been identified to be associated with IPF susceptibility, but these have been discovered when combining males and females.
View Article and Find Full Text PDFLancet Respir Med
April 2024
Respiratory Research Group, Hull York Medical School, Castle Hill Hospital, Cottingham, HU16 5JQ, UK. Electronic address:
Medicine (Baltimore)
April 2023
Department of Rehabilitation, Longgang District Central Hospital of Shenzhen, Shenzhen Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China.
Adolescent idiopathic scoliosis (AIS) can cause abnormal body posture, which has a negative impact on the overall posture. Therefore, timely prevention and early treatment are extremely important. The purpose of this study is to build an early warning model of AIS risk, so as to provide guidance for accurately identifying early high-risk AIS children and adolescents.
View Article and Find Full Text PDFCureus
July 2021
Interventional Radiology, Augusta University Medical College of Georgia, Augusta, USA.
Sinistral portal hypertension (SPH), also known as left-sided portal hypertension or segmental portal hypertension, is a rare cause of upper gastrointestinal bleeding. Historically, SPH is a result of obstruction of the splenic vein often secondary to pancreatic pathology. To our knowledge, there are no reported cases of idiopathic SPH in which the findings cannot be attributed to any etiology.
View Article and Find Full Text PDFAdv Respir Med
January 2021
Department of Medicine, University of Arizona, Tucson, Arizona.
Introduction: Right ventricular (RV) function in the setting of pulmonary hypertension based on different etiologies has not been well studied. In this study, we evaluated the RV function in patients with idiopathic pulmonary hypertension (IPH) versus secon-dary pulmonary hypertension (SPH) due to congestive heart failure.
Material And Method: Forty-five patients with pulmonary hypertension and New York Heart Association (NYHA) functional class II or III were enrolled.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!