Sinistral Portal Hypertension After Live Segmental Pancreas Donation: A Long-Term Sequelae Presenting With Life-Threatening Upper Gastrointestinal Hemorrhage

Transplant Proc. 2017 Jan-Feb;49(1):221-224. doi: 10.1016/j.transproceed.2016.09.035.

Abstract

Introduction: Variceal hemorrhage from sinistral portal hypertension has never been reported as a complication of live pancreas donation.

Case report: We present a 68-year-old patient who underwent a simultaneous live-donor laparoscopic segmental pancreatectomy and nephrectomy for the purposes of donating to her daughter. Her postoperative course was significant for an episode of acute pancreatitis with a pseudocyst formation. More than a decade later, she presented with variceal hemorrhage from sinistral portal hypertension, which after a diagnostic work-up, prompted a laparoscopic splenectomy.

Discussion: Sinistral portal hypertension is a long-term complication of live-donor pancreas donation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Esophageal and Gastric Varices / etiology*
  • Esophageal and Gastric Varices / surgery
  • Female
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / surgery
  • Humans
  • Hypertension, Portal / etiology*
  • Hypertension, Portal / surgery
  • Pancreas / surgery
  • Pancreas Transplantation*
  • Pancreatectomy / adverse effects*
  • Pancreatitis / etiology
  • Postoperative Complications / etiology*
  • Postoperative Complications / surgery
  • Splenectomy / methods
  • Tissue and Organ Harvesting / adverse effects*
  • Tissue and Organ Harvesting / methods