Isolated gastric varices due to spontaneous splenic vein thrombosis
Goldberg, S.; Katz, S.; Naidich, J.; Waye, J.
American Journal of Gastroenterology 79(4): 304-307
1984
ISSN/ISBN: 0002-9270 PMID: 6608875 Document Number: 234896
Isolated bleeding gastric varices due to a spontaneous idiopathic thrombosis of the splenic vein was found to be the cause of obscure, painless recurrent bleeding in our patient. The diagnosis of spontaneous splenic vein thrombosis should be considered in the presence of gastrointestinal bleeding with unexplained splenomegaly. Prominent gastric folds may be the only barium contrast or endoscopic finding often lacking esophageal varices. Arteriography is essential in demonstrating an obstructed splenic vein. Splenectomy is the treatment of choice of "left-sided" portal hypertension.