TITLE:
Portal Venous Thrombosis and Splenic Hemangioma, Secondary to Acute Pancreatitis: Case Report
AUTHORS:
Gustavo Adolfo Hernández Valdez, Harvey Yair Zamora Veliz, Estefany Gilberty Mendoza Verdin, Quitzia Mayanim Rentería Fonseca, Itzel Velázquez Viniegra, Janette Alejandra Gamiño Gutierrez, Diana Rita Velázquez Jimenez, Florencio Favian Andrade, Luis Fernando Baez Bustos, Jorge Morales Rojas, María Jacqueline Martínez Tejeda, Graciela Gaddy Robles Martínez, Juan Antonio Contreras Escamilla
KEYWORDS:
Pancreatitis, Esplenic Hemangioma, Esplenectomy, Portal Vein Thrombosis, Surgery
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.14 No.1,
January
24,
2024
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.