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April 12, 2026BMC GastroenterologyOpen Access

Idiopathic splenic vein stenosis with splenic infarction: a case report of rare non-bleeding cause of left-sided portal hypertension

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Authors

SASeth Kofi AbrokwaJLJ LenzLSLeonore Serfling

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Overview

Case report reveals a non-bleeding cause of portal hypertension in a 71-year-old woman, suggesting new insights.

Key Points

  • To describe a rare case of idiopathic splenic vein stenosis leading to splenic infarction and left-sided portal hypertension.
  • Patient presented with epigastric discomfort
  • Endoscopy and imaging confirmed splenic vein stenosis and infarction
  • Laparoscopic splenectomy was performed
  • Postoperative follow-up included monitoring for portal vein thrombosis
  • Isolated gastric fundal varices were observed
  • Laparoscopic splenectomy resolved discomfort
  • Post-splenectomy, portal vein thrombosis with cavernous transformation was identified
  • Near-complete resolution of varices with no esophageal varices noted in follow-ups

Cite This Study

Abrokwa et al. (2026) studied this question.

synapsesocial.com/papers/69db36e64fe01fead37c4da3https://doi.org/10.1186/s12876-026-04783-9
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