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Case Report
 
Left-sided portal hypertension with a patent splenic vein: An impossible or a not-so-uncommon scenario?
Iftikhar Khan1, Ghassan Ramahi1, Saif Zaabi2, Hussien Elsiesy3, Mansour Tawfeeq1, Mohammed Al-Qahtani1
1Transplant Surgeon, Department of Transplant Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
2Interventional Radiologist, Department of Medical Imaging, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
3Transplant Hepatologist, Department of Transplant Hepatology, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Article ID: 100044IJHPDIK2015
doi:10.5348/ijhpd-2015-44-CR-19

Address correspondence to:
Dr. Iftikhar Khan
MOTC, KFSH, PO Box: 15215, MBC: 067
Dammam 31444
Saudi Arabia
Phone: +966-13-844-2474
Fax: +966-13-842-6251

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How to cite this article:
Khan I, Ramahi G, Zaabi S, Elsiesy H, Tawfeeq M, Al-Qahtani M. Left-sided portal hypertension with a patent splenic vein: An impossible or a not-so-uncommon scenario? Int J Hepatobiliary Pancreat Dis 2015;5:108–112.


Abstract
Introduction: Left-sided portal hypertension is usually thought to result from a mechanical obstruction of the splenic vein. However, a functional obstruction of a patent splenic vein due to high venous flow can also cause left-sided portal hypertension.
Case Report: We report a case of left-sided portal hypertension with a patent splenic vein.
Conclusion: The case illustrates that left-sided portal hypertension is a syndrome that results from the variable interactions of different mechanisms and highlights that the selection of suitable treatment is based on understanding the portal pathophysiology and portal venous anatomy in the patient.

Keywords: Left-sided portal hypertension, Management, Patent splenic vein, Pathogenesis


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Author Contributions
Iftikhar Khan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ghassan Ramahi – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Saif Zaabi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hussien Elsiesy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mansour Tawfeeq – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mohammed Al-Qahtani – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Iftikhar Khan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.