Pancreatic Mass Leading to Left-Sided Portal Hypertension, Causing Bleeding from Isolated Gastric Varices

Mucinous cystic neoplasms (MCN) are an uncommon form of exocrine neoplasms of the pancreas. Symptoms are most often vague and this makes the diagnosis more difficult. The current case is one of three cases yet reported where the MCN caused left-sided portal hypertension leading to the formation of i...

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Main Authors: Helga Thrainsdottir, Vigdis Petursdottir, Sigurdur Blöndal, Einar S. Björnsson
Format: Article
Language:English
Published: Hindawi Limited 2014-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2014/956490
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spelling doaj-651ef55008fc4266b4a8786f34b7e1a12020-11-25T00:30:58ZengHindawi LimitedCase Reports in Gastrointestinal Medicine2090-65282090-65362014-01-01201410.1155/2014/956490956490Pancreatic Mass Leading to Left-Sided Portal Hypertension, Causing Bleeding from Isolated Gastric VaricesHelga Thrainsdottir0Vigdis Petursdottir1Sigurdur Blöndal2Einar S. Björnsson3Section of Gastroenterology, Department of Internal Medicine, The National University Hospital of Iceland, Hringbraut, 101 Reykjavik, IcelandDepartment of Pathology, The National University Hospital of Iceland, Hringbraut, 101 Reykjavik, IcelandDepartment of Surgery, The National University Hospital of Iceland, Hringbraut, 101 Reykjavik, IcelandSection of Gastroenterology, Department of Internal Medicine, The National University Hospital of Iceland, Hringbraut, 101 Reykjavik, IcelandMucinous cystic neoplasms (MCN) are an uncommon form of exocrine neoplasms of the pancreas. Symptoms are most often vague and this makes the diagnosis more difficult. The current case is one of three cases yet reported where the MCN caused left-sided portal hypertension leading to the formation of isolated gastric varices and subsequent bleeding from the varices. In the previously reported cases the main symptom was hematemesis. However in the current case the patient experienced no hematemesis, only isolated incidents of dark coloured diarrhea, but the main symptoms were those of iron-deficiency anemia. We present the case report of a 34-year-old woman who presented with dizziness and lethargy and was found to have 12 cm MCN in the pancreas.http://dx.doi.org/10.1155/2014/956490
collection DOAJ
language English
format Article
sources DOAJ
author Helga Thrainsdottir
Vigdis Petursdottir
Sigurdur Blöndal
Einar S. Björnsson
spellingShingle Helga Thrainsdottir
Vigdis Petursdottir
Sigurdur Blöndal
Einar S. Björnsson
Pancreatic Mass Leading to Left-Sided Portal Hypertension, Causing Bleeding from Isolated Gastric Varices
Case Reports in Gastrointestinal Medicine
author_facet Helga Thrainsdottir
Vigdis Petursdottir
Sigurdur Blöndal
Einar S. Björnsson
author_sort Helga Thrainsdottir
title Pancreatic Mass Leading to Left-Sided Portal Hypertension, Causing Bleeding from Isolated Gastric Varices
title_short Pancreatic Mass Leading to Left-Sided Portal Hypertension, Causing Bleeding from Isolated Gastric Varices
title_full Pancreatic Mass Leading to Left-Sided Portal Hypertension, Causing Bleeding from Isolated Gastric Varices
title_fullStr Pancreatic Mass Leading to Left-Sided Portal Hypertension, Causing Bleeding from Isolated Gastric Varices
title_full_unstemmed Pancreatic Mass Leading to Left-Sided Portal Hypertension, Causing Bleeding from Isolated Gastric Varices
title_sort pancreatic mass leading to left-sided portal hypertension, causing bleeding from isolated gastric varices
publisher Hindawi Limited
series Case Reports in Gastrointestinal Medicine
issn 2090-6528
2090-6536
publishDate 2014-01-01
description Mucinous cystic neoplasms (MCN) are an uncommon form of exocrine neoplasms of the pancreas. Symptoms are most often vague and this makes the diagnosis more difficult. The current case is one of three cases yet reported where the MCN caused left-sided portal hypertension leading to the formation of isolated gastric varices and subsequent bleeding from the varices. In the previously reported cases the main symptom was hematemesis. However in the current case the patient experienced no hematemesis, only isolated incidents of dark coloured diarrhea, but the main symptoms were those of iron-deficiency anemia. We present the case report of a 34-year-old woman who presented with dizziness and lethargy and was found to have 12 cm MCN in the pancreas.
url http://dx.doi.org/10.1155/2014/956490
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AT sigurdurblondal pancreaticmassleadingtoleftsidedportalhypertensioncausingbleedingfromisolatedgastricvarices
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