Sinistral portal hypertension - secondary to pancreatic carcinoma

Discussion:

Sinistral (or segmental) portal hypertension occurs as a result of splenic vein occlusion, most commonly secondary to pancreatic pathology (pancreatitis, pseudocyst or carcinoma).

The most common features include esophageal or gastric varices, which can bleed acutely. 

Concurrent systemic portal hypertension should be excluded.

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